Gray, Karen

Gray, Karen is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gray, Karen can be contacted via phone (602) 933-1900.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-1900
Fax: (602) 933-1918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP9586 Arizona

Profile Details

NPI number 1720534613
LBN Legal business name Gray, Karen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2016
Last updated Jan 11th, 2019 - about 6 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 1720534613 NPPES
Arizona MEDICAID 206808

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