Bluegrass Rural Health Clinic, Psc

NPI #1912162959 in Manchester, Kentucky

Provider Information

NPI Number: 1912162959
Entity Type: Organization
Organization Name: Bluegrass Rural Health Clinic, Psc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 18, 2008
Last Updated: Jul 18, 2008

Practice Location

Address: 2734 S HIGHWAY 421
City: Manchester
State: Kentucky
ZIP Code: 40962-7515
Phone: (606) 658-2710

Authorized Official

Name: KISHORE JADHAV, MD
Title: PRESIDENT
Phone: (606) 658-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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