Grace Primary Care Pllc

NPI #1679058804 in Crestwood, Kentucky

Provider Information

NPI Number
1679058804
Entity Type
Organization
Organization Name
Grace Primary Care Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 3, 2018
Last Updated
Jun 11, 2019

Practice Location

Address
6520 W HIGHWAY 22
ZIP Code
40014
Phone
(502) 241-8488

Authorized Official

Name
RENU B GEORGE, NP
Title
OWNER
Phone
(502) 241-8488

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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