Individual provider · Type 1 NPI

Dorothy Luanne Gravely

Nurse's Aide · South Shore, KY

NPI number 1023699642 Active

Practice location

1323 Blackbird Rd
South Shore, KY 41175-7018

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide 374U00000XNone listed
Nurse's Aide Primary 376K00000X400367260604 (OH)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1023699642

Dorothy Luanne Gravely's National Provider Identifier is 1023699642, issued on Apr 15, 2021. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in South Shore, KY. The record was last updated on Oct 15, 2025.