MRS. Tracey Gregory Maynor, PAC

NPI #1043219520 in Louisville, Kentucky

Provider Information

NPI Number: 1043219520
Entity Type: Individual
Name: MRS. Tracey Gregory Maynor, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 18, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4003 KRESGE WAY
Address 2: #221
City: Louisville
State: Kentucky
ZIP Code: 40207-4652
Phone: (502) 897-7107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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