Individual
GRAYAM ROBERT SAILOR-TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE STREET, MN 275, LEXINGTON, KY 40536-0293
(859) 323-6162
(859) 257-8934
Mailing address
546 RADIANCE AVE, SAN ANTONIO, TX 78218-2645
(210) 414-1171
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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