Gray, Katherine
Gray, Katherine is an individual health care provider with primary practice located at 120 Desert Sage Way , Mountain Home ID 83647-1038. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gray, Katherine can be contacted via phone (208) 875-3988.Contact Information
Primary practice address
120 Desert Sage Way
Mountain Home ID 83647-1038
Phone: (208) 875-3988
Fax: (208) 587-3324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-14835 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TL0006271 | Colorado |
Profile Details
| NPI number | 1427407824 |
|---|---|
| LBN Legal business name | Gray, Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2016 |
| Last updated | May 14th, 2024 - about last year |
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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