Individual
TAYLOR MYRANDA GREIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937
Mailing address
1865 RUTHERFORD AVE APT 3, LOUISVILLE, KY 40205-1840
(812) 664-4307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2287DT
KY
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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