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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

NPI # 1730352972
LBN Legal business name BLUEGRASS PAIN CONSULTANTS PLLC
Authorized official CHRISTOPHER NELSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2008
Last updated 06/19/2012 - About 14 years ago
Identifiers
KY Medicaid 7100034210
KY Medicaid 7100038680
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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