Whalio Doctors

NPI 1386028066

Samual Paul Gracey, DPM

Practitioner Foot & Ankle Surgery Podiatrist Shepherdsville, KY

Practice location

Address
1905 W Hebron Ln STE 204, Shepherdsville, KY 40165
Phone
(502) 797-3338
Mailing address
1905 W Hebron Ln STE 204, Shepherdsville, KY 40165-7467

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 00432 (KY)

Registry record

NPI
1386028066
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jul 2015
Record last updated
7 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.