Individual
JASMINE TREMELL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10032 DEMIA WAY, FLORENCE, KY 41042-4734
(859) 647-6700
(859) 372-6362
Mailing address
577 DOUGLAS AVE, LEXINGTON, KY 40508-1073
(859) 396-7128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101025694
MI
208000000X
Pediatrics Physician
Primary
TP936
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
07/06/2022
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