Individual
DONALD KEVIN GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1213 NORTH MAIN STREET, BEAVER DAM, KY 42320
(270) 274-4771
(270) 274-4884
Mailing address
197 TIMBERLINE HILLS LN, HARTFORD, KY 42347-9504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29862
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376583690
NPI
KY
05
—
64298623
—
KY
Enumeration date
06/07/2006
Last updated
09/06/2007
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