Individual
ROSALIE SPREEN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065-1660
(502) 647-4085
(502) 647-4098
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005392
KY
367500000X
Certified Registered Nurse Anesthetist
C00606
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50053842
PASSPORT-SME
KY
05
—
7100041770
—
KY
01
—
P01922699RR
RR MEDICARE
KY
Enumeration date
04/14/2006
Last updated
07/12/2019
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