| NPI | 1902910722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN L MOORE Partner Bluegrass Medical Clinic Pl 859-987-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-12-18 |