Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bluegrass Regional Foot & Ankle Associates

Organization Nurse Practitioner · NPI 1780837062

Bluegrass Regional Foot & Ankle Associates provides Nurse Practitioner services 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 Not confirmed with CMS for 17 years — call before visiting
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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