Organization
BLUEGRASS EAR NOSE & THROAT CLINIC
Active
Organization
BLUEGRASS EAR NOSE & THROAT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARA SAMUEL MAKDESSIAN MD (OWNER)
(859) 745-1010
Entity
Organization
Contact information
Practice address
205 FLOYD CLAY DR, SUITE 3, WINCHESTER, KY 40391-1156
(859) 745-1010
(859) 745-0080
Mailing address
205 FLOYD CLAY DR, SUITE 3, WINCHESTER, KY 40391-1156
(859) 745-1010
(859) 745-0080
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
KY
231H00000X
Audiologist
—
KY
Other
Enumeration date
08/09/2006
Last updated
05/13/2015
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