Individual
DR. KENNETH REED GRAVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
517 WASHINGTON ST, SHELBYVILLE, KY 40065-1129
(502) 633-0120
(502) 633-0882
Mailing address
517 WASHINGTON ST, SHELBYVILLE, KY 40065-1129
(502) 633-0120
(502) 633-0882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64020787
—
KY
Enumeration date
08/04/2005
Last updated
11/03/2009
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