Organization · Type 2 NPI

Bluegrass Allergy Asthma and Immunology PSC

Allergy & Immunology (Internal Medicine) Physician · Louisville, KY

NPI number 1669984209 Active

Practice location

11900 Plantside Dr Ste 9
Louisville, KY 40299

Fax (502) 267-1715

Mailing address

PO Box 206578
Louisville, KY 40250-6578

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology (Internal Medicine) Physician Primary 207RA0201X34409 (KY)

Allergy & Immunology (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

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About NPI 1669984209

Bluegrass Allergy Asthma and Immunology PSC's National Provider Identifier is 1669984209, issued on Nov 3, 2017. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Louisville, KY. The record was last updated on Jul 10, 2018.