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

Bluegrass Clinic Liberty, PLLC

Organization Family Medicine Physician · NPI 1457555146

Bluegrass Clinic Liberty, PLLC is a Family Medicine Physician in Liberty, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

256 N Wallace Wilkinson Blvd
Liberty, KY 42539-3014
Phone: (160) 678-7001
Fax: (606) 787-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1457555146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Miller — Provider Owner · (606) 365-8338
NPI enumeratedJune 14, 2007
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address256 N Wallace Wilkinson Blvd, Liberty, KY 42539-3014

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