| Bluegrass Pediatrics And Internal Medicine, Pllc | |
|
196 Bevins Ln Suite F Georgetown KY 40324-8534 | |
| (502) 863-2818 | |
| (502) 863-2764 |
| Full Name | Bluegrass Pediatrics And Internal Medicine, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 196 Bevins Ln, Georgetown, Kentucky |
| Authorized Official Name and Position | Andrew P. Balbaugh (PARTNER) |
| Authorized Official Contact | 5028632818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Pediatrics And Internal Medicine, Pllc 196 Bevins Ln Suite F Georgetown KY 40324-8534 Ph: (502) 863-2818 | Bluegrass Pediatrics And Internal Medicine, Pllc 196 Bevins Ln Suite F Georgetown KY 40324-8534 Ph: (502) 863-2818 |
| NPI Number | 1427229707 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427229707 | NPI | - | NPPES |
| 7100047760 | Medicaid | KY | |
| 7100059860 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41057 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 41057 (Kentucky) | Primary |
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