IndividualActive
Dorothy Gravely
NPI 1023699642 · Nurse's Aide · South Shore, KY
Provider details
- NPI number
- 1023699642
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
1323 Blackbird Rd
South Shore, KY 41175-7018
Phone: (606) 923-2873
Approximate (ZIP-level) locationGet directions
Mailing address
1323 Blackbird Rd
South Shore, KY 41175-7018
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.