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
Fax: (704) 867-0216
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275521809 NPPES
North Carolina MEDICAID 8910429

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