Provider Demographics
NPI:1003098062
Name:BLUEGRASS HOUSE CALLS PLLC
Entity Type:Organization
Organization Name:BLUEGRASS HOUSE CALLS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-623-3888
Mailing Address - Street 1:3006 PLANTERS ROW DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9234
Mailing Address - Country:US
Mailing Address - Phone:859-623-3888
Mailing Address - Fax:859-624-4424
Practice Address - Street 1:3006 PLANTERS ROW DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-9234
Practice Address - Country:US
Practice Address - Phone:859-623-3888
Practice Address - Fax:859-624-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-02
Last Update Date:2007-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty