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Organization
BLUEGRASS FAMILY HEALTHCARE, PLLC
Active
Organization
BLUEGRASS FAMILY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D BASHAM APRN (OWNER)
(270) 971-1388
Entity
Organization
Contact information
Practice address
2337 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9173
(270) 971-1388
Mailing address
2337 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9173
(270) 971-1388
(270) 297-7066
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3007397
KY
Other
Enumeration date
07/17/2013
Last updated
05/21/2021
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