Gray, Dennis S

Gray, Dennis S is an individual health care provider with primary practice located at 1169 Eastern Pkwy Ste 1111, Louisville KY 40217-1462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, Dennis S can be contacted via phone (502) 456-4100.

Contact Information

Primary practice address
1169 Eastern Pkwy Ste 1111 Louisville KY 40217-1462
Phone: (502) 456-4100
Fax: (502) 459-8454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21462 Kentucky

Profile Details

NPI number 1942202288
LBN Legal business name Gray, Dennis S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jun 10th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942202288 NPPES
Kentucky Other 080135036 RR MEDICARE
Kentucky Other 50021730 RR MEDICARE
Kentucky Other 6896823 RR MEDICARE
Kentucky Other 3633466000 RR MEDICARE
Kentucky Other 4380607 RR MEDICARE
Kentucky Other 000000600891 RR MEDICARE
Kentucky MEDICAID 64214620 RR MEDICARE

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