| NPI | 1700582327 |
|---|---|
| Doing Business As | BLUEGRASS DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | COLTON JAYNE Physician/ Owner 859-710-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-09-13 |