Organization
BLUEGRASS NEWBORN SPECIALISTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALDON JUNDI M.D. (NEONATOLOGIST)
(859) 272-1146
Entity
Organization
Contact information
Practice address
ST. JOSEPH EAST NICU, 150 N. EAGLE CREEK DR., LEXINGTON, KY 40504
(859) 272-1146
(859) 272-1146
Mailing address
P.O. BOX 24930, LEXINGTON, KY 40524
(859) 272-1146
(859) 272-1146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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