Individual
AMANDA GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 COMMERCE CIR, MOUNT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Mailing address
401 COMMERCE CIR, MOUNT STERLING, KY 40353-7815
(859) 498-5243
(859) 498-5396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4029931
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101044240
—
KY
Enumeration date
01/07/2025
Last updated
03/25/2025
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