Organization
BLUEGRASS NEWBORN SPECIALISTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALDON JUNDI M.D. (OWNER)
(859) 221-6339
Entity
Organization
Contact information
Practice address
170 NORTH EAGLE CREEK DRIVE, LEXINGTON, KY 40509-1805
(859) 967-5416
(859) 967-5415
Mailing address
1408 BRIANNA COURT, LEXINGTON, KY 40513-1822
(859) 272-1146
(859) 272-1146
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
29168
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65946030
—
KY
Enumeration date
09/16/2006
Last updated
04/19/2021
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