# BLUEGRASS OCCUPATIONAL & ENVIRONMENTAL HEALTH CONSULTING LLC

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

## Provider details

- **NPI number:** 1164133153
- **Authorized official:** CLETUS OPPONG MD (OWNER)
- **Authorized official phone:** (818) 406-6700

## Contact information

- **Practice address:** 105 THIRD STREET, SUITE A, CANEYVILLE, KY 42721-0216
- **Practice address phone:** (270) 662-1608
- **Mailing address:** 105 THIRD ST, SUITE A, CANEYVILLE, KY 42721-0216
- **Mailing address phone:** (270) 662-1608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2022
- **Last updated:** 12/09/2022