Gray, Kellie M
Gray, Kellie M is an individual health care provider with primary practice located at 17215 N 72Nd Dr Suite 105, Glendale AZ 85308-8558. She recently has only one registered license in Chiropractic Providers / Internist, which is considered as her primary health care specialty. Gray, Kellie M can be contacted via phone (623) 334-4056.Contact Information
Primary practice address
17215 N 72Nd Dr Suite 105
Glendale AZ 85308-8558
Phone: (623) 334-4056
Fax: (623) 334-4060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 4710 | Arizona |
Profile Details
| NPI number | 1700842838 |
|---|---|
| LBN Legal business name | Gray, Kellie M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - 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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