DOROTHY GRAVELY

Nurse's Aide

Active Individual
NPI: 1023699642

Practice Address

1323 BLACKBIRD RD
South Shore, KY 41175

Phone: (606) 923-2873

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X No -
Nurse's Aide 376K00000X Yes 400367260604 (OH)

Frequently Asked Questions

NPI 1023699642 is the National Provider Identifier for DOROTHY GRAVELY, a Nurse's Aide provider located in South Shore, KY. This NPI was enumerated on April 15, 2021.
DOROTHY GRAVELY practices at 1323 BLACKBIRD RD, South Shore, KY 41175.

Quick Facts

NPI
1023699642
Type
Individual
Enumerated
Apr 15, 2021
Last Updated
Oct 15, 2025

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