Organization
BLUEGRASS KIDNEY CONSULTANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI P BHIMANI MD (OWNER)
(502) 583-1799
Entity
Organization
Contact information
Practice address
721 S PRESTON ST FL 2, LOUISVILLE, KY 40203-2319
(502) 583-1799
(502) 583-1792
Mailing address
13507 RIDGEMOOR DR, PROSPECT, KY 40059-7144
(859) 291-9100
(859) 291-9101
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/09/2009
Last updated
10/04/2017
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