Individual
IVERSON GRIFFIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
Mailing address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008942
KY
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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