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General NPI Number Information
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NPI Number | 1871464693
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Entity Type | Organization
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Legal Business Name | BLUEGRASS PEDS, PLLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 4040 FINN WAY STE 310
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City | LEXINGTON
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State | KY
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Zip | 40517-8379
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Country | US
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Telephone | 859-277-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 175 WEST SHORT STREET SUITE 275
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City | LEXINGTON
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State | KY
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Zip | 40507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HEATHER LEANN HOWELL
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Credential | APRN
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Telephone | 606-471-9424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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