BLUEGRASS PRIMARY CARE MEDICINE LLC NPI 1578831848

NPI Information

BLUEGRASS PRIMARY CARE MEDICINE LLC is a specialist in Elizabethtown, 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 PRIMARY CARE MEDICINE LLC NPI is 1578831848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 N DIXIE AVE STE 302
ELIZABETHTOWN, KY
ZIP 42701-515
Phone: (270) 769-0892
Fax: (270) 769-1857

The provider's authorized official is Syed R Quadri .
The authorized official title is Managing Member and has the following contact phone number (270) 769-0892.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/1/2011.

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:

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