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Individual

CARL BRENT GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
501 S MCFADDEN LN, LONDON, KY 40741-1489
(606) 524-5999
Mailing address
501 S MCFADDEN LN, LONDON, KY 40741-1489
(606) 524-5999

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017187
KY

Other

Enumeration date
01/07/2022
Last updated
01/11/2022
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