| Bluegrass Medical Group Psc | |
|
1451 Harrodsburg Rd Suite D 502 Lexington KY 40504-3758 | |
| (859) 277-8560 | |
| (859) 277-8866 |
| Full Name | Bluegrass Medical Group Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 1451 Harrodsburg Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Dana Rae Barry (PRACTICE MANAGER) |
| Authorized Official Contact | 8592778560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Medical Group Psc 1451 Harrodsburg Rd Suite D 502 Lexington KY 40504-3758 Ph: (859) 277-8560 | Bluegrass Medical Group Psc 1451 Harrodsburg Rd Suite D 502 Lexington KY 40504-3758 Ph: (859) 277-8560 |
| NPI Number | 1164518130 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164518130 | NPI | - | NPPES |
| 000000055841 | Other | KY | ANTHEM |
| 64253370 | Medicaid | KY | |
| 65905234 | Medicaid | KY |
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