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
793 EASTERN BYPASS, SUITE 106, RICHMOND, KY 40475
(859) 624-1826
(859) 624-1744
Mailing address
793 EASTERN BYPASS, SUITE 106, RICHMOND, KY 40475
(859) 624-1826
(859) 624-1744
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
04/17/2007
Last updated
02/21/2008
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