| Gray & Allen PSC | |
|
1169 Eastern Pkwy 1111 Louisville KY 40217-1417 | |
| (502) 456-4100 | |
| Not Available |
| Full Name | Gray & Allen PSC |
|---|---|
| Speciality | Family Medicine |
| Location | 1169 Eastern Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | Dennis S Gray (PRESIDENT) |
| Authorized Official Contact | 5024564100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray & Allen PSC 1169 Eastern Pkwy 1111 Louisville KY 40217-1417 Ph: (502) 456-4100 | Gray & Allen PSC 1169 Eastern Pkwy 1111 Louisville KY 40217-1417 Ph: (502) 456-4100 |
| NPI Number | 1366571127 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366571127 | NPI | - | NPPES |
| CI6232 | Other | KY | RAILROAD MEDICARE GROUP |
| 1052163 | Other | KY | PASSPORT |
| 65931321 | Medicaid | KY | |
| 2433215001 | Other | KY | PASSPORT ADVANTAGE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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