Individual
ANNA GRACE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
1505 STATE ROUTE 123, BARDWELL, KY 42023-8958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1175755
KY
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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