Individual
DR. BRADLEY GEORGE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8726 US HIGHWAY 42, FLORENCE, KY 41042
(859) 384-2660
(859) 384-5248
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 384-2660
(859) 384-5248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061525
—
OH
05
—
7100078860
—
KY
Enumeration date
02/16/2009
Last updated
09/07/2018
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