NPI 1023217197

Bluegrass Orthopedic Group Psc

Organisation Specialist La Grange, KY

Practice location

Address: 1023 New Moody Ln STE 102, La Grange, KY 40031-9177
Phone: (502) 222-0598
Fax: (502) 222-7446

Authorised official

Name: Eugne Jacob
Title: President
Phone: (502) 222-0598

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 23227 (KY)

Other Specialist providers in Kentucky →

Registry record

NPI: 1023217197
Entity type: Organization
NPI issued: 17 Jul 2007
Record last updated: 17 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.