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Organization

PALLIATIVE CARE CENTER OF THE BLUEGRASS INC.

Active
Other names
Bluegrass Palliative Care
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH FOWLER MPH (CHIEF EXECUTIVE OFFICER)
(859) 276-5344
Entity
Organization

Contact information

Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3617
(859) 278-4869
(859) 278-7690
Mailing address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3617
(859) 278-4869
(859) 278-7690

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
208100000X
Physical Medicine & Rehabilitation Physician
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
208VP0000X
Pain Medicine Physician
363LA2100X
Acute Care Nurse Practitioner
3002782
KY
363LA2200X
Adult Health Nurse Practitioner
3008486
KY
363LF0000X
Family Nurse Practitioner
364SA2100X
Acute Care Clinical Nurse Specialist
364SP0200X
Pediatric Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65931438
KY
05
78902517
KY
05
8290011900
KY
Enumeration date
11/13/2006
Last updated
08/15/2023
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