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

Bluegrass Internal Medicine and Nephrology

Organization Nephrology Physician · NPI 1609361724

Bluegrass Internal Medicine and Nephrology is a Nephrology Physician in Lexington, Kentucky. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

4101 Tates Creek Centre Dr
Lexington, KY 40517-3066
Phone: (816) 456-7181
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1609361724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hazem Kakaji — Owner · (816) 456-7181
NPI enumeratedJune 30, 2018
Last updated in NPPESJanuary 24, 2019
Mailing address4101 Tates Creek Centre Dr, Lexington, KY 40517-3066

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