Kentucky Blue Medical Llc

LBN: Kentucky Blue Medical Llc
Kentucky Blue Medical Llc is an health care organization with primary practice located at 4602 Southern Pkwy Ste 1A , Louisville KY 40214-1442. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as the primary health care specialty. Kentucky Blue Medical Llc can be contacted via phone (502) 361-1159, or through Sheppard, Cranston via phone (502) 361-1159.

Contact Information

Primary practice address
4602 Southern Pkwy Ste 1A Louisville KY 40214-1442
Phone: (502) 361-1159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sheppard, Cranston
Phone: (502) 361-1159

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X

Profile Details

NPI number 1063862506
LBN Legal business name Kentucky Blue Medical Llc
DBA Doing business as
Authorized official Sheppard, Cranston
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2016
Last updated Jun 15th, 2016 - about 9 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.

Request for update

Popular Providers