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Organization
BLUEGRASSMD
Active
Organization
BLUEGRASSMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA D STANTON (CEO/OWNDER)
(859) 553-0705
Entity
Organization
Contact information
Practice address
424 LEWIS HARGETT CIR STE 250, LEXINGTON, KY 40503-3687
(859) 553-0705
(859) 813-4454
Mailing address
424 LEWIS HARGETT CIR STE 250, LEXINGTON, KY 40503-3687
(859) 553-0705
(859) 813-4454
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/14/2026
Last updated
10/14/2026
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