Gray, Kellie Denise

Gray, Kellie Denise is an individual health care provider with primary practice located at 6925 La-74 , St. Gabriel LA 70776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gray, Kellie Denise can be contacted via phone (225) 642-3306.

Contact Information

Primary practice address
6925 La-74 St. Gabriel LA 70776
Phone: (225) 642-3306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP09561 Louisiana

Profile Details

NPI number 1619493418
LBN Legal business name Gray, Kellie Denise
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2017
Last updated Feb 17th, 2021 - about 5 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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