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KENTUCKY MSO LLC NPI 1568907798


NPI Information

NPI: 1568907798
Provider Name: KENTUCKY MSO LLC

Doing Business As: BLUEGRASS PEDIATRICS AND INTERNAL MEDICINE-GEORGETOWN

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
196 BEVINS LN
SUITE F
GEORGETOWN, KY
ZIP 40324
Phone: (502) 863-2818
Get Directions

KENTUCKY MSO LLC is a pediatrics in Georgetown, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KENTUCKY MSO LLC NPI is 1568907798. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bluegrass Pediatrics And Internal Medicine-georgetown.

The provider's business location address is:

196 BEVINS LN
SUITE F
GEORGETOWN, KY
ZIP 40324-534
Phone: (502) 863-2818
Fax: (502) 863-2764

The provider's authorized official is Sara Miller .
The authorized official title is Director and has the following contact phone number (615) 920-7514.

The enumeration date for this NPI number is 12/26/2016 and was last updated on 12/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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