| NPI | 1902329436 |
|---|---|
| Doing Business As | BLUEGRASS INTERVENTIONAL THERAPIES |
| Entity Type | Organization |
| Authorized Contact | DONALD R. DOUGLAS Physician 859-312-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: KY 26259) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |