Healthcare Provider Details

I. General information

NPI: 1548186034
Provider Name (Legal Business Name): ON THE MEND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 N 2ND ST STE 100
RICHMOND KY
40475-1408
US

IV. Provider business mailing address

PO BOX 43353
LOUISVILLE KY
40253-0353
US

V. Phone/Fax

Practice location:
  • Phone: 502-252-1543
  • Fax:
Mailing address:
  • Phone: 502-252-1543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA L GRAY
Title or Position: OWNER
Credential: APRN
Phone: 502-649-7132