Individual
TOREY NICHELLE MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 BOONE ST, COVINGTON, KY 41014-1066
(513) 371-2875
Mailing address
308 BOONE ST, COVINGTON, KY 41014-1066
(513) 371-2875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147566
OH
164W00000X
Licensed Practical Nurse
2046951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147566
LPN
OH
Enumeration date
01/03/2013
Last updated
01/03/2013
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