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

Bluegrass Medical Clinic PLLC

Organization Family Medicine Physician · NPI 1902910722

Bluegrass Medical Clinic PLLC is a Family Medicine Physician in Paris, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
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

22 Clinic Dr
Paris, KY 40361
Phone: (859) 987-0074
Fax: (859) 987-0098
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902910722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Moore — Partner Bluegrass Medical Clinic Pl · (859) 987-0074
NPI enumeratedAugust 18, 2006
Last updated in NPPESDecember 18, 2013
Mailing address22 Clinic Dr, Paris, KY 40361

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