Tracy, Gregory
Tracy, Gregory is an individual health care provider with primary practice located at 3050 Harrodsburg Rd Ste 100 , Lexington KY 40503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Tracy, Gregory can be contacted via phone (859) 277-6102.Contact Information
Primary practice address
3050 Harrodsburg Rd Ste 100
Lexington KY 40503
Phone: (859) 277-6102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 51121 | Kentucky |
Profile Details
| NPI number | 1154715159 |
|---|---|
| LBN Legal business name | Tracy, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2015 |
| Last updated | Jan 5th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154715159 | NPPES |
| Kentucky | MEDICAID | 7100430870 |
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