Bluegrass Family Allergy, Pllc

NPI #1376949396 in Owensboro, Kentucky

Provider Information

NPI Number: 1376949396
Entity Type: Organization
Organization Name: Bluegrass Family Allergy, Pllc
Primary Specialty: Allergy & Immunology
Enumeration Date: Nov 18, 2014
Last Updated: Feb 28, 2015

Practice Location

Address: 2200 E PARRISH AVE
Address 2: BUILDING A
City: Owensboro
State: Kentucky
ZIP Code: 42303-1449
Phone: (270) 282-2477

Authorized Official

Name: DR. KELLY SHAWN BRAUER, M.D.
Title: PRESIDENT/OWNER
Phone: (270) 929-7977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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