Organization
BLUEGRASS PSYCHIATRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELBORNE WILLIAMS M.D. (OWNER)
(859) 236-7756
Entity
Organization
Contact information
Practice address
1000 E LEXINGTON AVE, SUITE 26, DANVILLE, KY 40422-9042
(859) 236-7756
(859) 236-7209
Mailing address
P.O. BOX 763, DANVILLE, KY 40422-1707
(859) 236-7756
(859) 236-7209
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64170715
—
KY
Enumeration date
01/16/2008
Last updated
05/21/2008
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