Bluegrass Pediatrics, Llc

LBN: Bluegrass Pediatrics, Llc
Bluegrass Pediatrics, Llc is an health care organization with primary practice located at 242 Berger Rd , Paducah KY 42003. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Bluegrass Pediatrics, Llc can be contacted via phone (270) 366-0960, or through Anderson, Robyn B via phone (270) 366-0960.

Contact Information

Primary practice address
242 Berger Rd Paducah KY 42003
Phone: (270) 366-0960
Fax: (270) 554-1108
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Robyn B
Phone: (270) 366-0960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39216 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007339 Kentucky

Profile Details

NPI number 1427478700
LBN Legal business name Bluegrass Pediatrics, Llc
DBA Doing business as
Authorized official Anderson, Robyn B
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2014
Last updated Oct 8th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427478700 NPPES
Kentucky Other 71004583540 APRN GROUP MEDICAID #
Kentucky Other 7100225560 APRN GROUP MEDICAID #
Kentucky Other 7100304720 APRN GROUP MEDICAID #
Kentucky MEDICAID 7100483540 APRN GROUP MEDICAID #
Kentucky Other 1427478700 APRN GROUP MEDICAID #
Kentucky Other 1912270125 APRN GROUP MEDICAID #
Kentucky MEDICAID 7100304720 APRN GROUP MEDICAID #
Kentucky Other 1164425831 APRN GROUP MEDICAID #
Kentucky Other 64095565 APRN GROUP MEDICAID #

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