Individual
MRS. ANDREA MARIE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KCSFA
Contact information
Practice address
275 HIGHWAY 770, CORBIN, KY 40701-4732
(606) 526-7874
(606) 526-7836
Mailing address
221 PATTERSON RD, LONDON, KY 40744-9025
(606) 682-4112
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA240
KY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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