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Contact Information

BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C
1105 W 5TH ST
#3
LONDON, KY40741-1610
 Phone: 606-862-9900
 Fax: 606-862-8901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C · (Female)

NPI Number 1730180571
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2005
Last updated 05/07/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 1730180571
  • KY Medicaid 78902731
  • KY Medicaid 80900160
  • KY Medicaid 90005737
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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