Bluegrass Vein Clinic

NPI #1508483512 in Glasgow, Kentucky

Provider Information

NPI Number: 1508483512
Entity Type: Organization
Organization Name: Bluegrass Vein Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jun 25, 2020
Last Updated: Nov 18, 2021

Practice Location

Address: 201 PROFESSIONAL PARK DR
City: Glasgow
State: Kentucky
ZIP Code: 42141-3486
Phone: (270) 392-3661

Authorized Official

Name: JULIE SCHOENBAECHLER
Title: CREDENTIALING SPECIALIST
Phone: (502) 220-8437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Family Medicine	207Q00000X	Primary

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