Organization
BLUEGRASS REGIONAL FOOT AND ANKLE ASSOCIATES P S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ALBERTSON APRN (PRESIDENT)
(859) 229-2779
Entity
Organization
Contact information
Practice address
208 BELLAIRE DR, NICHOLASVILLE, KY 40356-8840
(859) 887-8026
(859) 887-0017
Mailing address
1105 W 5TH ST STE 3, LONDON, KY 40741-1610
(859) 229-2779
(606) 862-8901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90005737
—
KY
Enumeration date
09/26/2012
Last updated
04/24/2017
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