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

Bluegrass Podiatric Management LLC

Organization Podiatrist · NPI 1720477672

Bluegrass Podiatric Management LLC is a Podiatrist in Louisville, Kentucky. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9800 Shelbyville Rd Ste 202
Louisville, KY 40223-5440
Phone: (502) 536-7224
Fax: (888) 419-6943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1720477672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Lasorella — Credentialing Supervisor · (513) 829-9333
NPI enumeratedJanuary 15, 2015
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address178 N Ewing Ave, Louisville, KY 40206-2459

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