Organization
BLUEGRASS SURGICAL ASSISTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R VOLL CSA (CERTIFIED SURGICAL ASSISTANT)
(859) 619-0240
Entity
Organization
Contact information
Practice address
220 TAZWELL DR, RICHMOND, KY 40475-8940
(859) 619-0240
Mailing address
220 TAZWELL DR, RICHMOND, KY 40475-8940
(859) 619-0240
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA039
KY
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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