Bluegrass Primary Care LLC

NPI #1649222969 in Lexington, Kentucky

Provider Information

NPI Number
1649222969
Entity Type
Organization
Organization Name
Bluegrass Primary Care LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
May 16, 2006
Last Updated
Jul 25, 2008

Practice Location

Address
135 EAST MAKWELL ST.
Address 2
SUITE 200
ZIP Code
40508
Phone
(859) 422-4363

Authorized Official

Name
ANN S. GILES
Title
OWNER
Phone
(859) 219-2828

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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