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

Bluegrass Internal Medicine and Nephrology

Organization Nephrology Physician · NPI 1609361724

Bluegrass Internal Medicine and Nephrology provides Nephrology Physician services in Lexington, Kentucky. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

4101 Tates Creek Centre Dr
Lexington, KY 40517-3066
Phone: (816) 456-7181
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1609361724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hazem Kakaji — Owner · (816) 456-7181
NPI enumeratedJune 30, 2018
Last updated in NPPESJanuary 24, 2019
Mailing address4101 Tates Creek Centre Dr, Lexington, KY 40517-3066

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