Gray, Kimberly Marie

Gray, Kimberly Marie is an individual health care provider with primary practice located at 12315 Judson Rd Ste 110 , Live Oak TX 78233-3263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gray, Kimberly Marie can be contacted via phone (210) 566-8332.

Contact Information

Primary practice address
12315 Judson Rd Ste 110 Live Oak TX 78233-3263
Phone: (210) 566-8332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1046983 Texas

Profile Details

NPI number 1619633989
LBN Legal business name Gray, Kimberly Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Nov 11th, 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.

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