Individual
MR. GREGORY LUCAS MCFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
10510 SANDBOURNE WAY, LOUISVILLE, KY 40241-5103
(502) 599-0227
Mailing address
10510 SANDBOURNE WAY, LOUISVILLE, KY 40241-5103
(502) 599-0227
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3016501
KENTUCKY BOARD OF NURSING
KY
Enumeration date
08/20/2021
Last updated
08/20/2021
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