MICHAEL SHANE GRAY

HOPKINSVILLE, KY
NPI1679292866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3018060)
Enumeration Date2022-08-23
Last Update Date2022-08-23
Business Address
MICHAEL SHANE GRAY APRN
10755 EAGLE WAY
HOPKINSVILLE, KY 42240-8742
Phone number: 270-887-0270
Mailing Address
MICHAEL SHANE GRAY APRN
320 W 18TH ST
HOPKINSVILLE, KY 42240-1965
Phone number: 270-887-0100