Captain K Gray is a Phlebology in , . Captain K Gray practices all healthcare services and medical treatments related to Phlebology. The NPI Number for Captain K Gray is 1861451346. The last update date is 2017-03-28.
Captain K Gray's current location address is , , . You can contact this provider via phone number . The mailing address for Captain K Gray is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | Captain K Gray |
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Address | , , |
Phone Number | |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1861451346 |
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Provider Enumeration Date | 2006-03-22 |
Last Updated Date | 2017-03-28 |
Provider Mailing Address Detail
Address | |
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City | |
State | () |
Post Code | |
Phone Number | |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Phlebology |
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Taxonomy | 202K00000X |
Licence No | 416656 |
Definition: Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and o |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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17344014 | KS | BLUE CROSS BLUE SHIELD OF KANS | |
17344024 | MO | BLUE CROSS BLUE SHIELD OF KANS | |
110132045 | KS | MEDICARE RAILROAD |
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What is the unique 10-digit identification code issued to Captain K Gray by the Centers for Medicare & Medicaid Services?
The Captain K Gray has been assigned the NPI (National Provider Identifier) 1861451346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Captain K Gray's facilities are geographically located?
The facilities of Captain K Gray are physically situated at the following location: , , , .
What is Captain K Gray's area of expertise and its corresponding taxonomy classification?
The Captain K Gray's field of specialization is Phlebology, and it falls under the taxonomy code 202K00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861451346 to Captain K Gray?
The Centers for Medicare & Medicaid Services originally issued the 1861451346 to Captain K Gray on 2006-03-22.
As of what date were the details related to Captain K Gray most recently updated or revised?
The information pertaining to Captain K Gray, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-28.
NPI Number: 1427051903
Address: 58457 29 Palms Hwy, Yucca Valley, CA