Gray, David Kevin

Gray, David Kevin is an individual health care provider with primary practice located at 407 12Th Street Ext , Princeton WV 24740-2300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Gray, David Kevin can be contacted via phone (304) 487-0232.

Contact Information

Primary practice address
407 12Th Street Ext Princeton WV 24740-2300
Phone: (304) 487-0232
Fax: (304) 487-0285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 50632 West Virginia

Profile Details

NPI number 1578528253
LBN Legal business name Gray, David Kevin
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 10th, 2008 - about 18 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 1578528253 NPPES
West Virginia MEDICAID 3810003715

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