Organization
BLUEGRASS FAMILY ALLERGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SHAWN BRAUER M.D. (PRESIDENT/OWNER)
(270) 929-7977
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BUILDING A, OWENSBORO, KY 42303-1449
(270) 282-2477
(270) 282-2476
Mailing address
PO BOX 22230, OWENSBORO, KY 42304-2230
(270) 282-2477
(270) 282-2476
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
41114
KY
Other
Enumeration date
11/18/2014
Last updated
02/28/2015
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