Gray, Jack Kenneth

Gray, Jack Kenneth is an individual health care provider with primary practice located at 909 Alameda St , Norman OK 73071-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gray, Jack Kenneth can be contacted via phone (405) 573-3934.

Contact Information

Primary practice address
909 Alameda St Norman OK 73071-5229
Phone: (405) 573-3934
Fax: (405) 573-3962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19414 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 15966 Oklahoma

Profile Details

NPI number 1295708519
LBN Legal business name Gray, Jack Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 24th, 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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