| NPI | 1609924018 |
|---|---|
| Other Name | BLUEGRASS DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHN L BUKER Medical Advisor 859-296-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-12 |