Organization
PAIN TREATMENT CENTER OF THE BLUEGRASS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KOWLOWITZ MD (OWNER)
(317) 409-7246
Entity
Organization
Contact information
Practice address
2416 REGENCY RD, LEXINGTON, KY 40503-2954
(317) 706-7246
(317) 706-3417
Mailing address
PO BOX 737100, CHICAGO, IL 60673-6374
(317) 706-7246
(317) 706-3417
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101103040
—
KY
05
—
7101118330
—
KY
05
—
7101118350
—
KY
Enumeration date
08/14/2025
Last updated
07/16/2026
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