Individual
DR. PHILLIP GRIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 CHARLES WETHINGTON BUILDING 900 SOUTH LIMESTONE, LEXINGTON, KY 40536-0200
(859) 218-0885
Mailing address
210 CHARLES WETHINGTON BUILDING 900 SOUTH LIMESTONE, LEXINGTON, KY 40536-0200
(859) 218-0885
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1200
KY
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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