Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Main Street Medical Clinic

Organization Family Nurse Practitioner · NPI 1952180408

Main Street Medical Clinic provides Family Nurse Practitioner services 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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