Organization
BLUEGRASS CARDIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN T MORRIS DO (CORP PRESIDENT)
(859) 624-1826
Entity
Organization
Contact information
Practice address
60 MERCY COURT, IRVINE, KY 40336
(859) 624-1826
(859) 624-1744
Mailing address
793 EASTERN BYPASS, SUITE 106, RICHMOND, KY 40475
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
02196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050520
ANTHEM
KY
05
—
65931958
—
KY
01
—
CG1685
RAILROAD MEDICARE
KY
Enumeration date
05/02/2007
Last updated
02/21/2008
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