Individual
DR. GREGORY TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3050 HARRODSBURG RD STE 100, LEXINGTON, KY 40503
(859) 277-6102
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
51121
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100430870
—
KY
Enumeration date
03/27/2015
Last updated
01/05/2024
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