Individual
DEBORAH S GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1653
(270) 825-5100
Mailing address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02301
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350338
BCBS PROVIDER NUMBER
—
05
—
64023013
—
KY
Enumeration date
05/31/2006
Last updated
06/20/2014
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