# BLUEGRASS HEARING CLINIC, LLC

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

## Provider details

- **NPI number:** 1942489976
- **Authorized official:** SHERRY MCCALL LANTER (OWNER/CEO)
- **Authorized official phone:** (859) 987-3272

## Contact information

- **Practice address:** 116 MERIDIAN WAY STE 1, RICHMOND, KY 40475-2876
- **Practice address phone:** (859) 623-4458
- **Practice address fax:** (859) 623-4459
- **Mailing address:** 116 MERIDIAN WAY STE 1, RICHMOND, KY 40475-2876
- **Mailing address phone:** (859) 623-4458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231HA2400X | Assistive Technology Practitioner Audiologist | — | NULL | Yes |
| 231HA2400X | Assistive Technology Practitioner Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 10/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000041650 | ANTHEM | KY |
| 05 | — | 70006507 | — | KY |