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NPI 1023217197

OrganizationActive

Bluegrass Orthopedic Group Psc

NPI 1023217197 · Specialist · La Grange, KY

Provider details

NPI number: 1023217197
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Authorized official: Eugne Jacob, President
License: 23227 (KY)

Practice location

1023 New Moody Ln

Ste 102

La Grange, KY 40031-9177

Phone: (502) 222-0598

Fax: (502) 222-7446

More KY providers

Mailing address

1023 New Moody Ln

La Grange, KY 40031-9177

Registry dates

Enumerated: 2007-07-17
Last updated: 2007-07-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bluegrass Orthopedic Group Psc — NPI 1023217197, La Grange, KY | NPI Central