Blue Crescent-Blue Star Medical of Kentucky, INC

NPI #1396044301 in Dry Ridge, Kentucky

Provider Information

NPI Number: 1396044301
Entity Type: Organization
Organization Name: Blue Crescent-Blue Star Medical of Kentucky, INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 17, 2011
Last Updated: Mar 17, 2011

Practice Location

Address: 95 S MAIN ST
City: Dry Ridge
State: Kentucky
ZIP Code: 41035-7343
Phone: (859) 823-0000

Authorized Official

Name: DR. SUNDIATA M EL-AMIN, M.D.
Title: OWNER
Phone: (859) 823-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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