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

Bluegrass Regional Foot & Ankle Associates

Organization Nurse Practitioner · NPI 1780837062

Bluegrass Regional Foot & Ankle Associates is a Nurse Practitioner in London, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008

Practice location Address checks out

1105 W 5th St #3
London, KY 40741-1610
Phone: (606) 862-9900
Fax: (606) 862-8901
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5140P (KY)

Record details

NPI number1780837062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Krestik — Physician/Owner · (606) 862-9900
NPI enumeratedOctober 30, 2008
Last updated in NPPESOctober 30, 2008
Mailing address1105 W 5th St, 3, London, KY 40741-1610

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