Individual
DR. SAMUAL PAUL GRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1905 W HEBRON LN STE 204, SHEPHERDSVILLE, KY 40165
(502) 797-3338
Mailing address
1905 W HEBRON LN STE 204, SHEPHERDSVILLE, KY 40165-7467
(502) 797-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K244460
MEDICARE
KY
Enumeration date
07/13/2015
Last updated
06/07/2018
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