Kathryn A Gray is a Family in Traverse City, Michigan. Kathryn A Gray practices all healthcare services and medical treatments related to Family. The NPI Number for Kathryn A Gray is 1518904374. The last update date is 2023-03-07.
Kathryn A Gray's current location address is 1105 6th St, Traverse City, Michigan. You can contact this provider via phone number 2319356520 and fax number 2319359116. The mailing address for Kathryn A Gray is 1105 6th St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn A Gray |
|---|---|
| Address | 1105 6th St, Traverse City, Michigan |
| Phone Number | 2319356520 |
| Fax Number | 2319359116 |
| Sole Proprietor | N |
| Credentials | R.N., F.N. |
NPI Number Detail
| NPI Number | 1518904374 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1105 6th St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842345 |
| Phone Number | 2319356520 |
| Fax Number | 2319359116 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704116935 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3521244 | MI | -- | |
| 500B814150 | MI | BLUE CROSS GROUP PRACTICE PIN | |
| 4704116935 | MI | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathryn A Gray by the Centers for Medicare & Medicaid Services?
The Kathryn A Gray has been issued the NPI (National Provider Identifier) 1518904374, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathryn A Gray is physically located?
The Kathryn A Gray is physically situated at the following address: 1105 6Th St, Traverse City, MI, 496842345.
What is Kathryn A Gray's area of expertise and its corresponding taxonomy classification?
The Kathryn A Gray's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kathryn A Gray receive the assignment of its 1518904374 from the Centers for Medicare & Medicaid Services?
The Kathryn A Gray was issued its 1518904374 by the Centers for Medicare & Medicaid Services on 2006-06-01.
When was the information regarding Kathryn A Gray most recently updated?
The details pertaining to the Kathryn A Gray, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.