Bluegrass Orthopedic Group Psc

NPI #1023217197 in La Grange, Kentucky

Provider Information

NPI Number: 1023217197
Entity Type: Organization
Organization Name: Bluegrass Orthopedic Group Psc
Primary Specialty: Specialist
Enumeration Date: Jul 17, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 1023 NEW MOODY LN
Address 2: STE 102
City: La Grange
State: Kentucky
ZIP Code: 40031-9177
Phone: (502) 222-0598

Authorized Official

Name: DR. EUGNE JACOB, MD
Title: PRESIDENT
Phone: (502) 222-0598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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