Organization
BLUEGRASS REGIONAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MATTHEWS ARNP (OWNER, PROVIDER)
(270) 274-9222
Entity
Organization
Contact information
Practice address
1307 N MAIN ST, BEAVER DAM, KY 42320-8957
(270) 274-9222
(270) 274-0696
Mailing address
1307 N MAIN ST, BEAVER DAM, KY 42320-8957
(270) 274-9222
(270) 274-0696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2835P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2835P
LICENSE
KY
05
—
78006764
—
KY
Enumeration date
03/27/2007
Last updated
08/22/2020
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