Individual
CHARITY GRAVILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N MAIN ST, TOMPKINSVILLE, KY 42167-1037
(270) 901-5000
(270) 842-5268
Mailing address
800 N STE A MAIN STREET, TOMPKINSVILLE, KY 42167
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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