| Doctor Name: | MS. ADRIAN DENISE GRAY |
| NPI Number: | 1467759936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 3006853 |
| Business Practice Address: | 65 Center Ave Whitley City, KY - 426534380 |
| Business Phone Number: | 6063762224 |
| Business Fax Number: | 6063762205 |
| Mailing Address: | Po Box 129, WHITLEY CITY |
| State: | KY |
| Postal Code: | 426530129 |
| Phone Number: | 6063762224 |
| Fax Number: | 6063762205 |
| NPI Enumeration Date: | 02/18/2011 |
| NPI Last Update Date: | 04/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3006853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |