Bluegrass Medical Group Psc

NPI #1164518130 in Lexington, Kentucky

Provider Information

NPI Number: 1164518130
Entity Type: Organization
Organization Name: Bluegrass Medical Group Psc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 5, 2006
Last Updated: Dec 18, 2014

Practice Location

Address: 1451 HARRODSBURG RD
Address 2: SUITE D 502
City: Lexington
State: Kentucky
ZIP Code: 40504-3758
Phone: (859) 277-8560

Authorized Official

Name: MRS. DANA RAE BARRY
Title: PRACTICE MANAGER
Phone: (859) 277-8560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Specialist	174400000X
Clinical Nurse Specialist - Family Health — Family Health	364SF0001X
Family Medicine	207Q00000X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X

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