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NPI Code Detail

MEDICARE: DEBBY FLOY GRAY PA

MEDICARE: DEBBY FLOY GRAY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA572KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780669515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBY FLOY GRAY PA
Provider Business Mailing Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-4409
Provider Business Practice Location Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-4409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 02/21/2014

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1770787467 — DR. ELLY JO JONES DMD
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1255522629 — BETHANY CRISPIN MD
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1629230131 — MS. DONNA C BIRNEY MSW, LCSW
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Directions to “ DEBBY FLOY GRAY PA” Practice Location

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