Organization
BLUEGRASS FAMILY MEDICINE HARRODSBURG PLLC
Active
Organization
BLUEGRASS FAMILY MEDICINE HARRODSBURG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ ARAIN (CONSULTANT)
(859) 605-2324
Entity
Organization
Contact information
Practice address
705 S COLLEGE ST, HARRODSBURG, KY 40330-2105
(859) 605-2170
(859) 605-2146
Mailing address
PO BOX 910866, LEXINGTON, KY 40591-0866
(859) 605-2170
(859) 605-2146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/19/2024
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