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Contact Information

BLUEGRASS PAIN CONSULTANTS PLLC
10241 CHAMPION FARMS DR
LOUISVILLE, KY40241-6150
 Phone: 502-423-1021
 Fax: 502-423-1416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLUEGRASS PAIN CONSULTANTS PLLC · (Female)

NPI # 1730352972
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2008
Last updated 06/19/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100034210
  • KY Medicaid 7100038680
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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