Organization
BLUEGRASS INTERNAL MEDICINE AND NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEM KAKAJI MD (OWNER)
(816) 456-7181
Entity
Organization
Contact information
Practice address
4101 TATES CREEK CENTRE DR, LEXINGTON, KY 40517-3066
(816) 456-7181
Mailing address
4101 TATES CREEK CENTRE DR, LEXINGTON, KY 40517-3066
(816) 456-7181
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/30/2018
Last updated
01/24/2019
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