Organization
BLUEGRASS DIRECT PRIMARY CARE
Active
Other names
Bluegrass Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLTON JAYNE MD (PHYSICIAN/ OWNER)
(859) 710-6300
Entity
Organization
Contact information
Practice address
227 E MAIN ST, GEORGETOWN, KY 40324-1711
(606) 424-3068
Mailing address
227 E MAIN ST, GEORGETOWN, KY 40324-1711
(606) 424-3068
(843) 288-4139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/06/2023
Last updated
09/13/2023
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