Organization
BLUEGRASS MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA RAE BARRY (PRACTICE MANAGER)
(859) 277-8560
Entity
Organization
Contact information
Practice address
1451 HARRODSBURG RD, SUITE D 502, LEXINGTON, KY 40504-3758
(859) 277-8560
(859) 277-8866
Mailing address
1451 HARRODSBURG RD, SUITE D 502, LEXINGTON, KY 40504-3758
(859) 277-8560
(859) 277-8866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25337
KY
174400000X
Specialist
26673
KY
207Q00000X
Family Medicine Physician
41917
KY
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
364SF0001X
Family Health Clinical Nurse Specialist
3005655
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000055841
ANTHEM
KY
05
—
64253370
—
KY
05
—
65905234
—
KY
Enumeration date
10/05/2006
Last updated
12/18/2014
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