Individual
KRISSA BROOKE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2746 VIRGINIA AVE, LOUISVILLE, KY 40211-3417
(502) 815-7040
Mailing address
133 RIDGEWOOD CT, ELIZABETHTOWN, KY 42701-7500
(270) 734-1712
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1115652
KY
363LF0000X
Family Nurse Practitioner
Primary
4039362
KY
Other
Enumeration date
04/08/2025
Last updated
05/28/2025
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