KENTUCKY MSO LLC

GEORGETOWN, KY
NPI1568907798
Doing Business AsBLUEGRASS PEDIATRICS AND INTERNAL MEDICINE-GEORGETOWN
Entity TypeOrganization
Authorized ContactSARA MILLER
Director
615-920-7514
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies207R00000X Internal Medicine
Enumeration Date2016-12-26
Last Update Date2016-12-26
Business Address
KENTUCKY MSO LLC
196 BEVINS LN SUITE F
GEORGETOWN, KY 40324-8534
Phone number: 502-863-2818
Mailing Address
KENTUCKY MSO LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7000