| NPI | 1114197803 |
|---|---|
| Doing Business As | BLUEGRASS DERMATOLOGY AND SKIN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN LANDON BUKER Medical Supervisor 859-296-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-06-12 |