National Provider Identifier Database

BLUEGRASS CARDIOLOGY PSC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

BLUEGRASS CARDIOLOGY PSC
793 EASTERN BYPASS
SUITE 106
RICHMOND, KY40475
Phone: 859-624-1826
Fax: 859-624-1744
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for BLUEGRASS CARDIOLOGY PSC

NPI Number 1134345481
Legal business name
LBN
BLUEGRASS CARDIOLOGY PSC
Authorized official GLENN MORRIS - (CORP PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/17/2007
Last updated 02/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 02196
  • KY Medicaid: 65931958
  • KY Other: 000000050520 ANTHEM
  • KY Other: CG1685 RAILROAD MEDICARE

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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