MAIN STREET MEDICAL CLINIC is a family nurse practitioner in Grayson, KY. MAIN STREET MEDICAL CLINIC NPI is 1952180408. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
107 E MAIN ST
GRAYSON, KY
ZIP 41143-301
Phone: (606) 474-0244
Fax: (606) 474-0412
The provider's authorized official is Stacy Holley .
The authorized official title is Owner and has the following contact phone number (606) 474-0244.
The CLIA number assigned to this NPI record is 18D2288813 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.