Individual
KELLY RENE GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, SANE-A
Contact information
Practice address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(270) 993-2902
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(270) 993-2902
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1144435
KY
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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