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Individual

DR. BILLY D GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1222 SKYLINE DR STE A&B, HOPKINSVILLE, KY 42240-4968
(270) 885-2366
(270) 885-2356
Mailing address
1222 SKYLINE DRIVE, SUITE A & B, HOPKINSVILLE, KY 42240
(270) 889-5355
(270) 885-2356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3810
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000215456
BLUE CROSS
KY
05
85038107
KY
Enumeration date
02/15/2006
Last updated
08/04/2010
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