Whalio Doctors

NPI 1043414873

Bluegrass Orthopaedic Group Psc

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Louisville, KY

Practice location

Address
3920 Dutchmans Ln Suite 314, Louisville, KY 40207-4702
Phone
(502) 895-1489
Fax
(502) 895-1261

Authorised official

Name
Eugene E Jacob
Title
President
Phone
(502) 895-1489

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X

Registry record

NPI
1043414873
Entity type
Organization
NPI issued
14 Jun 2007
Record last updated
22 Aug 2020

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.