GRACE PRIMARY CARE PLLC

CRESTWOOD, KY
NPI1679058804
Entity TypeOrganization
Authorized ContactRENU B GEORGE
Owner
502-241-8488
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2018-10-03
Last Update Date2019-06-11
Business Address
GRACE PRIMARY CARE PLLC
6520 W HIGHWAY 22
CRESTWOOD, KY 40014
Phone number: 502-241-8488
Mailing Address
GRACE PRIMARY CARE PLLC
6520 W HIGHWAY 22
CRESTWOOD, KY 40014-9305
Phone number: 502-241-8488
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