Organization
BLUE CRESCENT-BLUE STAR MEDICAL OF KENTUCKY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDIATA M EL-AMIN M.D. (OWNER)
(859) 823-0000
Entity
Organization
Contact information
Practice address
95 S MAIN ST, DRY RIDGE, KY 41035-7343
(859) 823-0000
Mailing address
95 S MAIN ST, DRY RIDGE, KY 41035-7343
(859) 823-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21770KY
KY
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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