Main Street Medical Clinic

NPI #1952180408 in Grayson, Kentucky

Provider Information

NPI Number
1952180408
Entity Type
Organization
Organization Name
Main Street Medical Clinic
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 25, 2023
Last Updated
Sep 25, 2023

Practice Location

Address
107 E MAIN ST
ZIP Code
41143-1301
Phone
(606) 474-0244

Authorized Official

Name
STACY HOLLEY, APRN
Title
OWNER
Phone
(606) 474-0244

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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