Gray & Allen Psc | |
1169 Eastern Pkwy 1111 Louisville KY 40217-1417 | |
(502) 456-4100 | |
Not Available |
Full Name | Gray & Allen Psc |
---|---|
Speciality | Family Medicine |
Location | 1169 Eastern Pkwy, Louisville, Kentucky |
Authorized Official Name and Position | Dennis S Gray (PRESIDENT) |
Authorized Official Contact | 5024564100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gray & Allen Psc 1169 Eastern Pkwy 1111 Louisville KY 40217-1417 Ph: (502) 456-4100 | Gray & Allen Psc 1169 Eastern Pkwy 1111 Louisville KY 40217-1417 Ph: (502) 456-4100 |
NPI Number | 1366571127 |
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Provider Enumeration Date | 03/05/2007 |
Last Update Date | 11/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366571127 | NPI | - | NPPES |
CI6232 | Other | KY | RAILROAD MEDICARE GROUP |
1052163 | Other | KY | PASSPORT |
65931321 | Medicaid | KY | |
2433215001 | Other | KY | PASSPORT ADVANTAGE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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