Bray, Kirsten Nicole
Bray, Kirsten Nicole is an individual health care provider with primary practice located at 1617 W Garrison Blvd , Gastonia NC 28052-3635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bray, Kirsten Nicole can be contacted via phone (704) 867-0219.Contact Information
Primary practice address
1617 W Garrison Blvd
Gastonia NC 28052-3635
Phone: (704) 867-0219
Fax: (704) 867-0216
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 2001-00315 | North Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200100315 | North Carolina |
Profile Details
NPI number | 1275521809 |
---|---|
LBN Legal business name | Bray, Kirsten Nicole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 7th, 2005 |
Last updated | Jun 30th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275521809 | NPPES |
North Carolina | MEDICAID | 8910429 |
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