Gray, Captain K
Gray, Captain K is an individual health care provider with primary practice located at 10777 Nall Ave #315, Overland Park KS 66211-1362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gray, Captain K can be contacted via phone (913) 345-2622.Contact Information
Primary practice address
10777 Nall Ave #315
Overland Park KS 66211-1362
Phone: (913) 345-2622
Fax: (913) 345-2699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 0416656 | Kansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0416656 | Kansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 117885 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Q2669 | Texas |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | MD0000054563 | Tennessee |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 56083 | Connecticut |
Profile Details
| NPI number | 1861451346 |
|---|---|
| LBN Legal business name | Gray, Captain K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Mar 28th, 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 | 1861451346 | NPPES |
| Kansas | Other | 17344014 | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
| Kansas | Other | 17344024 | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
| Kansas | Other | 110132045 | BLUE CROSS BLUE SHIELD OF KANSAS CITY |
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