Streat, Karen Gray

Streat, Karen Gray is an individual health care provider with primary practice located at 1420 Key Hwy , Baltimore MD 21230-5116. 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. Streat, Karen Gray can be contacted via phone (410) 230-7800.

Contact Information

Primary practice address
1420 Key Hwy Baltimore MD 21230-5116
Fax: (410) 230-7801
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R106862 Maryland

Profile Details

NPI number 1124087705
LBN Legal business name Streat, Karen Gray
Credentials C.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 16th, 2016 - about 9 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 1124087705 NPPES
Maryland MEDICAID 271104400
Maryland Other 607409

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