Gray, Kelly
Gray, Kelly is an sole proprietor health care provider with primary practice located at 16212 Monnet Place Ct , Charlotte NC 28278-0099. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gray, Kelly can be contacted via phone (704) 862-8250.Contact Information
Primary practice address
16212 Monnet Place Ct
Charlotte NC 28278-0099
Phone: (704) 862-8250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 37623 | South Carolina |
| Pharmacy Service Providers / Pharmacist | 183500000X | 15433 | North Carolina |
Profile Details
| NPI number | 1700145281 |
|---|---|
| LBN Legal business name | Gray, Kelly |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2012 |
| Last updated | Apr 8th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700145281 | NPPES |
| North Carolina | MEDICAID | 0815 |
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