Organization
BLUEGRASS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAWNTAY GILMORE (OFFICE MANAGER)
(606) 523-5402
Entity
Organization
Contact information
Practice address
2867 CUMBERLAND FALLS HWY, CORBIN, KY 40701
(606) 523-5402
(606) 523-6517
Mailing address
2867 CUMBERLAND FALLS HWY, CORBIN, KY 40701
(606) 523-5402
(606) 523-6517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
KY
Other
Enumeration date
02/01/2007
Last updated
10/06/2017
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