# BLUEGRASS FAMILY HEALTHCARE, PLLC

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

## Provider details

- **NPI number:** 1679914733
- **Authorized official:** RICHARD D BASHAM APRN (OWNER)
- **Authorized official phone:** (270) 971-1388

## Contact information

- **Practice address:** 2337 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9173
- **Practice address phone:** (270) 971-1388
- **Mailing address:** 2337 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9173
- **Mailing address phone:** (270) 971-1388
- **Mailing address fax:** (270) 297-7066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 3007397 | KY | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 05/21/2021