Individual
KRISTY GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 WALTON AVE, BOWLING GREEN, KY 42104-6361
(270) 781-5194
Mailing address
150 WALTON AVE, BOWLING GREEN, KY 42104-6361
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
164082
KY
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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