Gray, Jack Kenneth
Gray, Jack Kenneth is an individual health care provider with primary practice located at 909 Alameda St , Norman OK 73071-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gray, Jack Kenneth can be contacted via phone (405) 573-3934.Contact Information
Primary practice address
909 Alameda St
Norman OK 73071-5229
Phone: (405) 573-3934
Fax: (405) 573-3962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 19414 | Tennessee |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 15966 | Oklahoma |
Profile Details
| NPI number | 1295708519 |
|---|---|
| LBN Legal business name | Gray, Jack Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 24th, 2008 - about 17 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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