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Contact Information

BLUEGRASS CARDIOLOGY PSC
793 EASTERN BYPASS
SUITE 106
RICHMOND, KY40475
 Phone: 859-624-1826
 Fax: 859-624-1744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLUEGRASS CARDIOLOGY PSC · (Female)

NPI # 1134345481
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2007
Last updated 02/21/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 02196
  • KY Medicaid 65931958
  • KY Other 000000050520 ANTHEM
  • KY Other CG1685 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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