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

Bluegrass Urgent Care LLC

Organization Obstetrics & Gynecology Physician · NPI 1104106954

Bluegrass Urgent Care LLC is an Obstetrics & Gynecology Physician in Walton, Kentucky. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

625 Chestnut Dr Ste 106
Walton, KY 41094-7845
Phone: (859) 485-7900
Fax: (859) 485-7920
Show map & directions

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

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
General Practice Physician Taxonomy 208D00000X
Clinical Medical Laboratory Taxonomy 291U00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1104106954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert So — Medical Director · (859) 485-7900
NPI enumeratedAugust 25, 2011
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address625 Chestnut Dr, Suite 106, Walton, KY 41094-7845