Gray, Keriann Nickola
Gray, Keriann Nickola is an individual health care provider with primary practice located at 200 Scenery Dr. , State College PA 16801-5602. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Gray, Keriann Nickola can be contacted via phone (814) 231-4560.Contact Information
Primary practice address
200 Scenery Dr.
State College PA 16801-5602
Phone: (814) 231-4560
Fax: (814) 231-6246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD456589 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 246232 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1023215670 |
|---|---|
| LBN Legal business name | Gray, Keriann Nickola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | May 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023215670 | NPPES |
| Pennsylvania | Other | 464500 | MEDICARE |
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