Individual
JOSHUA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 MANGO DR, LOUISVILLE, KY 40258-2347
(502) 649-7132
Mailing address
7600 MANGO DR, LOUISVILLE, KY 40258-2347
(502) 649-7132
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1116169
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3008815
KY
Other
Enumeration date
09/24/2014
Last updated
10/20/2016
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