Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Medical Clinic

Organization Family Nurse Practitioner · NPI 1952180408

Main Street Medical Clinic is a Family Nurse Practitioner in Grayson, Kentucky. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

107 E Main St
Grayson, KY 41143-1301
Phone: (606) 474-0244
Fax: (606) 474-0412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1952180408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Holley — Owner · (606) 474-0244
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address107 E Main St, Grayson, KY 41143-1301

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