Organization
BLUEGRASS RURAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY CHARLES KENNEDY MD (MEDICAL DIRECTOR)
(502) 377-8138
Entity
Organization
Contact information
Practice address
911 FLAT ROCK RD, LOUISVILLE, KY 40245-4313
(502) 377-8138
Mailing address
911 FLAT ROCK RD, LOUISVILLE, KY 40245-4313
(502) 377-8138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY28102
KY
363A00000X
Physician Assistant
PA824
KY
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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