Organization
GRATITUDE ADJUSTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BRANS (CFO)
(606) 288-0013
Entity
Organization
Contact information
Practice address
10315 W HIGHWAY 80, NANCY, KY 42544-9053
(606) 288-0013
(606) 288-9600
Mailing address
PO BOX 628, NANCY, KY 42544-0628
(606) 288-0013
(606) 288-9600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100819540
—
KY
Enumeration date
11/05/2024
Last updated
10/31/2025
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