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Contact Information

BLUEGRASS PODIATRIC MANAGEMENT LLC
9800 SHELBYVILLE RD STE 202
LOUISVILLE, KY40223-5440
 Phone: 502-536-7224
 Fax: 888-419-6943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BLUEGRASS PODIATRIC MANAGEMENT LLC · (Female)

NPI # 1720477672
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2015
Last updated 10/29/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100335760
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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