Organization
BLUEGRASS FAMILY HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D BASHAM (APRN/OWNER)
(270) 971-1388
Entity
Organization
Contact information
Practice address
2337 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9173
(270) 971-1388
(270) 297-7066
Mailing address
2337 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9173
(270) 230-5084
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
04/29/2021
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