| NPI | 1063864056 |
|---|---|
| Doing Business As | GRAVES-GILBERT CLINIC |
| Doing Business As | GRAVES GILBERT CLINIC |
| Former Legal Business Name | GILBERT BARBEE MOORE & MCILVOY PSC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E DERAMO CEO 270-780-0549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY HME01042) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-10-22 |