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Individual

MRS. TRACEY ANGELA GRIGSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
40 MOORE LANE, HYDEN, KY 41749
(859) 576-0622
Mailing address
2250 LEESTOWN RD, MAIL STOP 120 LD, LEXINGTON, KY 40511-1052
(859) 576-0622

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
123843
KY

Other

Enumeration date
10/26/2007
Last updated
07/26/2016
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