# BLUEGRASS SURGICAL ASSISTING, LLC

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

## Provider details

- **NPI number:** 1629234562
- **Authorized official:** WILLIAM VOLL CSA (OWNER)
- **Authorized official phone:** (502) 454-7766

## Contact information

- **Practice address:** 420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
- **Practice address phone:** (502) 454-7766
- **Practice address fax:** (502) 451-9291
- **Mailing address:** 4119 BROWNS LN, STE 2B, LOUISVILLE, KY 40220-1500
- **Mailing address phone:** (502) 454-7766
- **Mailing address fax:** (502) 451-9291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZS0410X | Surgical Technologist | — | NULL | Yes |
| 246ZS0410X | Surgical Technologist | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 07/30/2008