Organization
BLUEGRASS RENAL CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD SARA MD (OWNER)
(859) 263-1717
Entity
Organization
Contact information
Practice address
3229 SUMMIT SQUARE PL, SUITE 240, LEXINGTON, KY 40509-2648
(859) 263-1717
(859) 263-0177
Mailing address
3229 SUMMIT SQUARE PL, SUITE 240, LEXINGTON, KY 40509-2648
(859) 263-1717
(859) 263-0177
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/01/2006
Last updated
02/02/2011
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