BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE, PLLC
Organization (NPI-2)
Active
Pediatrics
Provider Information
- NPI Number
1427229707- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 196 BEVINS LN SUITE F, GEORGETOWN, KY, 403248534
- Phone
- (502) 863-2818
- Fax
- (502) 863-2764
Specialties & Taxonomies
Internal Medicine
License: KY #41057
Pediatrics
Primary License: KY #41057