Individual
RICHI MICHELE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 BRYAN BLVD, CORBIN, KY 40701-2775
(606) 523-2005
Mailing address
8786 KY 459, BARBOURVILLE, KY 40906-7236
(606) 243-5108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3018730
KY
Other
Enumeration date
03/13/2023
Last updated
11/19/2024
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