Individual
TRACI MARION BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12420 SHELBYVILLE RD, LOUISVILLE, KY 40243-1419
(502) 244-2083
Mailing address
12420 SHELBYVILLE RD, LOUISVILLE, KY 40243-1419
(502) 244-2083
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311366998
DURABLE MEDICAL EQUIPMENT
—
Enumeration date
01/24/2022
Last updated
01/24/2022
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