BLUEGRASS SURGICAL ASSOCIATION PSC NPI 1497814768

NPI Information

BLUEGRASS SURGICAL ASSOCIATION, PSC is a specialist in Bowling Green, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLUEGRASS SURGICAL ASSOCIATION, PSC NPI is 1497814768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

996 WILKINSON TRCE
SUITE A5
BOWLING GREEN, KY
ZIP 42103-407
Phone: (270) 782-5219
Fax: (270) 793-9385

The provider's authorized official is John L Korba .
The authorized official title is President and has the following contact phone number (270) 782-5219.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/14/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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