# BLUEGRASS FAMILY MEDICINE & PEDIATRICS PLLC

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

## Provider details

- **NPI number:** 1730573452
- **Authorized official:** TARIQ ARAIN (CONSULTANT)
- **Authorized official phone:** (859) 792-1420

## Contact information

- **Practice address:** 90 COMMERCE DR, LANCASTER, KY 40444
- **Practice address phone:** (859) 792-1420
- **Practice address fax:** (859) 792-1240
- **Mailing address:** PO BOX 910866, LEXINGTON, KY 40591-0866
- **Mailing address phone:** (859) 792-1420
- **Mailing address fax:** (859) 792-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 09/19/2024