Bluegrass Medical Center LLC

NPI #1386781789 in Corbin, Kentucky

Provider Information

NPI Number: 1386781789
Entity Type: Organization
Organization Name: Bluegrass Medical Center LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 1, 2007
Last Updated: Oct 6, 2017

Practice Location

Address: 2867 CUMBERLAND FALLS HWY
City: Corbin
State: Kentucky
ZIP Code: 40701
Phone: (606) 523-5402

Authorized Official

Name: MRS. CHAWNTAY GILMORE
Title: OFFICE MANAGER
Phone: (606) 523-5402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Specialist	174400000X
Internal Medicine	207R00000X	Primary

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