# BLUEGRASS RURAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043605959
- **Authorized official:** DR. RAY CHARLES KENNEDY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (502) 377-8138

## Contact information

- **Practice address:** 911 FLAT ROCK RD, LOUISVILLE, KY 40245-4313
- **Practice address phone:** (502) 377-8138
- **Mailing address:** 911 FLAT ROCK RD, LOUISVILLE, KY 40245-4313
- **Mailing address phone:** (502) 377-8138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | KY28102 | KY | Yes |
| 363A00000X | Physician Assistant | PA824 | KY | — |

## Other

- **Enumeration date:** 03/30/2015
- **Last updated:** 03/30/2015