Organization
KENTUCKY MSO LLC
Active
Other names
Bluegrass Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
360 AMSDEN AVE, SUITE 302, VERSAILLES, KY 40383-1851
(859) 879-2419
(859) 873-4990
Mailing address
360 AMSDEN AVE, SUITE 302, VERSAILLES, KY 40383-1851
(859) 879-2419
(859) 873-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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