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Bluegrass Clinic Stanford, PLLC — NPI 1265571020, Stanford, KY | NPI Central

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NPI 1265571020

OrganizationActive

Bluegrass Clinic Stanford, PLLC

NPI 1265571020 · Legal Medicine · Stanford, KY

Provider details

NPI number: 1265571020
Entity type: Organization
Primary specialty: Legal MedicineOther Service Providers
Organization subpart: No
Authorized official: James Miller, Owner(606) 365-8338
License: 30199 (KY)

Specialties & taxonomies

Legal MedicinePrimary173000000XLicense 30199 (KY)
Other Service Providers

Practice location

107 Metker Trl

Suite a

Stanford, KY 40484-1049

Phone: (606) 365-8338

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

107 Metker Trl

Stanford, KY 40484-1049

Registry dates

Enumerated: 2007-02-06
Last updated: 2023-10-04
Certified: 2023-10-04

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