# BLUEGRASS HEARING CLINIC LLC

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

## Provider details

- **NPI number:** 1366235905
- **Authorized official:** TAYLOR EBEL (CREDENTIALING)
- **Authorized official phone:** (859) 885-0150

## Contact information

- **Practice address:** 2498 DIXIE HWY STE 3, FORT MITCHELL, KY 41017-3010
- **Practice address phone:** (859) 233-5212
- **Mailing address:** 100 JOHN SUTHERLAND DR STE 1, NICHOLASVILLE, KY 40356-2424
- **Mailing address phone:** (859) 885-0150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2025
- **Last updated:** 05/27/2025