| Bluegrass Psychiatry, Inc. | |
|
1000 E Lexington Ave Suite 26 Danville KY 40422-9042 | |
| (859) 236-7756 | |
| (859) 236-7209 |
| Full Name | Bluegrass Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1000 E Lexington Ave, Danville, Kentucky |
| Authorized Official Name and Position | Melborne Williams (OWNER) |
| Authorized Official Contact | 8592367756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Psychiatry, Inc. P.o. Box 763 Danville KY 40422-1707 Ph: (859) 236-7756 | Bluegrass Psychiatry, Inc. 1000 E Lexington Ave Suite 26 Danville KY 40422-9042 Ph: (859) 236-7756 |
| NPI Number | 1720264005 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720264005 | NPI | - | NPPES |
| 64170715 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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