Bluegrass Psychiatry, Inc. | |
1000 E Lexington Ave Suite 26 Danville KY 40422-9042 | |
(859) 236-7756 | |
(859) 236-7209 |
Full Name | Bluegrass Psychiatry, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1000 E Lexington Ave, Danville, Kentucky |
Authorized Official Name and Position | Melborne Williams (OWNER) |
Authorized Official Contact | 8592367756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bluegrass Psychiatry, Inc. P.o. Box 763 Danville KY 40422-1707 Ph: (859) 236-7756 | Bluegrass Psychiatry, Inc. 1000 E Lexington Ave Suite 26 Danville KY 40422-9042 Ph: (859) 236-7756 |
NPI Number | 1720264005 |
---|---|
Provider Enumeration Date | 01/16/2008 |
Last Update Date | 05/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720264005 | NPI | - | NPPES |
64170715 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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