Organization
BLUEGRASS ORTHOPAEDICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ACOSTA OTHER (CREDENTIALING COORDINATOR)
(859) 303-8803
Entity
Organization
Contact information
Practice address
3401 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-2513
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
11/19/2025
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