Kenneth Gathright (NPI# 1114128352, PAC ID# 7214092592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1114128352 |
| PAC ID by PECOS | 7214092592 |
| Professional Enrollment ID | I20090220000141 |
| Full Name | Kenneth Gathright |
| Organization Legal Name | RADIOLOGISTS OF RUSSELLVILLE PA |
| Address |
3301 W Main Pl Russellville AR 72801-2334 |
| Phone Number | 4799687930 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4385741685 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040041 | ST MARYS REGIONAL MEDICAL CENTER |
| 040011 | CHAMBERS MEMORIAL HOSPITAL |
| 040002 | JOHNSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 E Poplar St, Clarksville, AR 72830-4419 | 4797545454 | RADIOLOGISTS OF RUSSELLVILLE PA |
| 3301 W Main Pl, Russellville, AR 72801-2334 | 4799687930 | RADIOLOGISTS OF RUSSELLVILLE PA |
| Organization Legal Name | RADIOLOGISTS OF RUSSELLVILLE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley L Burnham | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Douglas S Kerin | Diagnostic Radiology | Radiologists of Russellville Pa | 1808 W Main St, Russellville, AR 72801-2724 |
| Jeffrey A Hale | Diagnostic Radiology | Radiologists of Russellville Pa | 1808 W Main St, Russellville, AR 72801-2724 |
| Daniel E Magill | Diagnostic Radiology | Radiologists of Russellville Pa | 1808 W Main St, Russellville, AR 72801-2724 |
| Street Address |
3301 W MAIN PL |
| City | RUSSELLVILLE |
| State | AR |
| Zip | 72801-2334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley L Burnham | Diagnostic Radiology | Radiologists of Russellville Pa | 3301 W Main Pl, Russellville, AR 72801-2334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Anne Kersh | Registered Dietitian Or Nutrition Professional | 3205 W Main St, Russellville, AR 72801-2301 | |
| Melia R Robertson | Optometry | 3715 W Main St, Russellville, AR 72801-2311 | |
| Andrew M Monfee | Family Medicine | 3812 W Main St, Russellville, AR 72801-2314 | |
| Jim Lieblong | Optometry | 2800 W Main St, Russellville, AR 72801-2449 | |
| Stacey B Boster | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Karlee A Mater | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Jordyn S Dixon | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Darrell S Gray Jr. | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| Cameron A Lane | Physical Therapy | Lane Physical Therapy Center, Inc | 3016 W Main St, Suite 200, Russellville, AR 72801-2453 |
| William Bruce Brown | Orthopedic Surgery | 3016 W Main St, Russellville, AR 72801-2453 | |
| Find all physicians in zip 72801 | |||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | RUSSELLVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kenneth Gathright.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.