Individual
SUSAN GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UK DIVISION OF NEPHROLOGY, 800 ROSE STREET, MN564, LEXINGTON, KY 40536-0298
(859) 323-2663
(859) 257-1078
Mailing address
UK DIVISION OF NEPHROLOGY, 800 ROSE STREET, MN564, LEXINGTON, KY 40536-0298
(859) 323-5049
(859) 323-0232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008069
KY
363LF0000X
Family Nurse Practitioner
3008069
KY
Other
Enumeration date
07/02/2013
Last updated
10/08/2014
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