| Kelly Gray, | |
|
330 Shamrock Rd, Manchester, KY 40962-9201 | |
| (606) 598-2425 | |
| (606) 598-4448 |
| Full Name | Kelly Gray |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 330 Shamrock Rd, Manchester, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821312224 | NPI | - | NPPES |
| KY-2130 | Other | KY | R.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Gray, Po Box 158, Manchester, KY 40962-0158 Ph: (606) 598-5564 | Kelly Gray, 330 Shamrock Rd, Manchester, KY 40962-9201 Ph: (606) 598-2425 |
Carolyn E Hacker, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 S Court St, Manchester, KY 40962 Phone: 606-598-2425 Fax: 606-598-4448 | |
Mrs. Tracy Stivers, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 376 Manchester Square, Manchester, KY 40962 Phone: 606-598-7673 Fax: 606-598-7942 |