Primary Care of the Bluegrass, LLC
NPI #1942463096 in Crab Orchard, Kentucky
Provider Information
- NPI Number
- 1942463096
- Entity Type
- Organization
- Organization Name
- Primary Care of the Bluegrass, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 9, 2008
- Last Updated
- Sep 2, 2021
Practice Location
- Address
- 29 MAIN ST
- City
- Crab Orchard
- State
- Kentucky
- ZIP Code
- 40419-6548
- Phone
- (606) 355-7800
Authorized Official
- Name
- BRITTANY UNDERWOOD, DO
- Title
- CREDENTIALING AGENT
- Phone
- (859) 303-8746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
| Nurse Practitioner |
| Clinic/Center - Primary Care — Primary Care |
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