| Bluegrass Medical Practitioners Inc. | |
|
47 Cavalier Blvd Ste 100 Florence KY 41042-3970 | |
| (859) 757-4353 | |
| (859) 534-0865 |
| Full Name | Bluegrass Medical Practitioners Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 47 Cavalier Blvd Ste 100, Florence, Kentucky |
| Authorized Official Name and Position | Bahar Mittal (PRESIDENT) |
| Authorized Official Contact | 8597574353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Medical Practitioners Inc. 47 Cavalier Blvd Ste 100 Florence KY 41042-3970 Ph: (859) 757-4353 | Bluegrass Medical Practitioners Inc. 47 Cavalier Blvd Ste 100 Florence KY 41042-3970 Ph: (859) 757-4353 |
| NPI Number | 1689019440 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689019440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38913 (Kentucky) | Primary |
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