Bluegrass Family Healthcare, PLLC
Organization Active NPI Primary Care Nurse Practitioner · Leitchfield, KY
NPI 1679914733 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1679914733
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 3007397 (KY)
- Legal business name
- BLUEGRASS FAMILY HEALTHCARE, PLLC
- Practice address
- 2337 Elizabethtown Rd
Leitchfield, KY 42754-9173 - Phone
- (270) 971-1388
- NPI assigned
- Jul 17, 2013
- Organization subpart
- No
Authorized official
- Name
- Richard D Basham, APRN
- Title
- Owner
- Phone
- (270) 971-1388
Corporate family (same tax ID) 1
Practitioners 1
-
Richard D Basham, ARNP
National Provider Directory
- Tax ID family
- Bluegrass Family Healthcare PLLC
Locations
2337 Elizabethtown Rd
Leitchfield, KY 42754
Phone (270) 230-0272
100 E White Oak St
Leitchfield, KY 42754
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner |
363LP2300X | 3007397 | KY | Yes |
Addresses
Primary practice location
2337 Elizabethtown Rd
Leitchfield, KY 42754-9173
Mailing address
2337 Elizabethtown Rd
Leitchfield, KY 42754-9173
Phone (270) 971-1388
Other providers in Leitchfield, KY
- Joshawa Bechtel
- Ray J Begay
- Brandon Bishop
- Daniel Steven Bloemer
- Bluegrass Family Healthcare, PLLC
- Kristin Nicole Board
- Amy Nicole Boswell
- Kristy M Bratcher
- Merri Beth Bratcher
- April Braun
All providers in Leitchfield, KY · Primary Care Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.