Individual
GREGORY S MCLONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1471
(859) 323-9057
(859) 323-9502
Mailing address
1760 NICHOLASVILLE RD, SUITE 402, LEXINGTON, KY 40503-1471
(859) 278-0383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA651
KY
363AM0700X
Medical Physician Assistant
PA651
KY
363AS0400X
Surgical Physician Assistant
PA651
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500158200
—
KY
01
—
970030880
RAILROAD MEDICARE
KY
Enumeration date
07/31/2006
Last updated
05/20/2022
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