Organization
BLUEGRASS PLASTIC & RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY H. CLARK M.D. (PRESIDENT)
(859) 276-5577
Entity
Organization
Contact information
Practice address
1707 NICHOLASVILLE RD, LEXINGTON, KY 40503-1403
(859) 276-5577
(859) 277-4048
Mailing address
1707 NICHOLASVILLE RD, LEXINGTON, KY 40503-1403
(859) 276-5577
(859) 277-4048
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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