Gray, Keith D.

Gray, Keith D. is an individual health care provider with primary practice located at 1926 Alcoa Hwy Ste 410, Knoxville TN 37920-1512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Gray, Keith D. can be contacted via phone (865) 544-9218.

Contact Information

Primary practice address
1926 Alcoa Hwy Ste 410 Knoxville TN 37920-1512
Fax: (865) 305-8262
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35320 Tennessee

Profile Details

NPI number 1235237843
LBN Legal business name Gray, Keith D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 12th, 2012 - about 12 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 1235237843 NPPES
Tennessee MEDICAID 3864934

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