Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Crescent-Blue Star Medical of Kentucky, Inc

Organization Internal Medicine Physician · NPI 1396044301

Blue Crescent-Blue Star Medical of Kentucky, Inc is an Internal Medicine Physician in Dry Ridge, Kentucky. Licensed in Kentucky. Registered with an NPI since 2011.

Licensed in
KY
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

95 S Main St
Dry Ridge, KY 41035-7343
Phone: (859) 823-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 21770KY (KY)

Record details

NPI number1396044301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sundiata El-Amin — Owner · (859) 823-0000
NPI enumeratedMarch 17, 2011
Last updated in NPPESMarch 17, 2011
Mailing address95 S Main St, Dry Ridge, KY 41035-7343