Gray, Keshell Antron

Gray, Keshell Antron is an individual health care provider with primary practice located at 7160 Tchulahoma Rd Bldg. B Suite 4, Southaven MS 38671-9266. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gray, Keshell Antron can be contacted via phone (662) 349-2733.

Contact Information

Primary practice address
7160 Tchulahoma Rd Bldg. B Suite 4 Southaven MS 38671-9266
Phone: (662) 349-2733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3231 Mississippi

Profile Details

NPI number 1306081914
LBN Legal business name Gray, Keshell Antron
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2008
Last updated Sep 8th, 2018 - about 8 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 1306081914 NPPES
Mississippi MEDICAID 09015269

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