Basic Information
Provider Information
NPI: 1770801946
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAY
FirstName: ADAM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: UK DIVISION OF HOSPITAL MEDICINE
Address2: 800 ROSE STREET, MN 602
City: LEXINGTON
State: KY
PostalCode: 405360284
CountryCode: US
TelephoneNumber: 8593236047
FaxNumber: 8592573873
Practice Location
Address1: UK DIVISION OF HOSPITAL MEDICINE
Address2: 800 ROSE STREET, MN 602
City: LEXINGTON
State: KY
PostalCode: 405360284
CountryCode: US
TelephoneNumber: 8593236047
FaxNumber: 8592573873
Other Information
ProviderEnumerationDate: 05/12/2010
LastUpdateDate: 07/24/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X45806KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X45806KYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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