| NPI | 1215953765 |
|---|---|
| Doing Business As | BLUEGRASS DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHN L BUKER Medical Director 859-296-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |