Kellie M Gray in Peoria - Internist

Kellie M Gray - NPI 1700842838

Kellie M Gray is a Internist in Peoria, Arizona. Kellie M Gray practices all healthcare services and medical treatments related to Internist. The NPI Number for Kellie M Gray is 1700842838. The last update date is 2007-07-08.

Kellie M Gray's current location address is 24022 N 79th Dr, Peoria, Arizona. You can contact this provider via phone number 6233344056 and fax number 6233344060. The mailing address for Kellie M Gray is 24022 N 79th Dr, Peoria, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Kellie M Gray
Address 24022 N 79th Dr, Peoria, Arizona
Phone Number 6233344056
Fax Number 6233344060
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1700842838
Provider Enumeration Date 2006-04-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 24022 N 79th Dr
City Peoria
State Arizona (AZ)
Post Code 853831626
Phone Number 6233344056
Fax Number 6233344060

Provider's Primary Taxonomy Detail

Speciality Internist
Taxonomy 111Ni0900X
Licence No 4710
Definition:
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders.

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FAQs about Kellie M Gray

What is the unique identification code assigned to Kellie M Gray by the Centers for Medicare & Medicaid Services?

The Kellie M Gray has been issued the NPI (National Provider Identifier) 1700842838. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kellie M Gray's physical address?

The Kellie M Gray is physically located at 24022 N 79Th Dr, in the city of Peoria, AZ, with the postal code 853831626.

What is the area of specialization for Kellie M Gray, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kellie M Gray is Internist, and the corresponding taxonomy code that categorizes this area of expertise is 111Ni0900X.

When was the Kellie M Gray's 1700842838 issued?

The Kellie M Gray's 1700842838 was issued on 2006-04-26.

When was the information pertaining to Kellie M Gray most recently updated or revised?

The details related to Kellie M Gray, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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