OrganizationBluegrass Regional Foot & Ankle AssociatesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1105 W 5th St, #3, London, KY 40741-1610(606) 862-9900PECOS EnrollmentBased on the most recent information from CMS, provider Bluegrass Regional Foot & Ankle Associates does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1780837062Provider TypeOrganizationFull NameBluegrass Regional Foot & Ankle AssociatesSubpartNoEnumeration Date10/30/2008Last Updated10/30/2008Contact InformationPractice LocationPractice Address1105 W 5th St, #3, London, KY 40741-1610Phone(606) 862-9900Fax(606) 862-8901Mailing LocationMailing Address1105 W 5th St, #3, London, KY 40741-1610Phone(606) 862-9900Fax(606) 862-8901Authorized OfficialNameKrestik, Paul K (Physician/Owner)Phone(606) 862-9900Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5140PKentucky