Organization
BLUEGRASS OSTEOPOROSIS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MYERS M.D. (PRESIDENT)
(502) 633-0192
Entity
Organization
Contact information
Practice address
1741 MIDLAND TRL, SHELBYVILLE, KY 40065-1711
(502) 633-0192
(502) 633-4164
Mailing address
1741 MIDLAND TRL, SHELBYVILLE, KY 40065-1711
(502) 633-0192
(502) 633-4164
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
32619
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051832
ANTHEM
KY
01
—
1131051
PASSPORT
KY
01
—
122612
CHA HEALTH
KY
01
—
2437673000
PASSPORT ADVANTAGE
KY
05
—
65930679
—
KY
Enumeration date
08/13/2006
Last updated
05/07/2010
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