| Bluegrass Medical Associates Psc | |
|
210 Malabu Dr Suite 212 Lexington KY 40502-3252 | |
| (859) 223-2425 | |
| (859) 224-8579 |
| Full Name | Bluegrass Medical Associates Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 210 Malabu Dr, Lexington, Kentucky |
| Authorized Official Name and Position | James George (PARTNER) |
| Authorized Official Contact | 8592232425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Medical Associates Psc 2301 River Rd Suite 300 Louisville KY 40206-1010 Ph: (502) 814-3175 | Bluegrass Medical Associates Psc 210 Malabu Dr Suite 212 Lexington KY 40502-3252 Ph: (859) 223-2425 |
| NPI Number | 1316946429 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316946429 | NPI | - | NPPES |
| 65933087 | Medicaid | KY | |
| CI922 | Other | KY | RAILROAD MEDICARE KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
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