Search › Kentucky › 363LA2200X
Joshua Gray
NPI 1659773463 · on the registry since 2014
Practice
- Address
- 7600 Mango Dr
Louisville, KY 40258 - Phone
- (502) 649-7132
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163WG0000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky