Organization · Type 2 NPI
Primary Care of the Bluegrass, LLC
Primary Care Clinic/Center · Crab Orchard, KY
NPI number
1942463096
Active
Practice location
29 Main St
Crab Orchard, KY 40419-6548
Fax (606) 355-7803
Mailing address
1031 Wellington Way Ste 240
Lexington, KY 40513-1257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 700193 (KY) |
| Rural Health Clinic/Center | 261QR1300X | 900266 (KY) |
| Nurse Practitioner | 363L00000X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1942463096
Primary Care of the Bluegrass, LLC's National Provider Identifier is 1942463096, issued on Jul 9, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Crab Orchard, KY. The record was last updated on Sep 2, 2021.