Gray, Kathryn A

Gray, Kathryn A is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gray, Kathryn A can be contacted via phone (231) 935-6520.

Contact Information

Primary practice address
1105 6Th St Traverse City MI 49684-2345
Phone: (231) 935-6520
Fax: (231) 935-9116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704116935 Michigan

Profile Details

NPI number 1518904374
LBN Legal business name Gray, Kathryn A
Credentials R.N., F.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518904374 NPPES
Michigan MEDICAID 3521244
Michigan Other 500B814150
Michigan Other 4704116935

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