Gray, Kimberly

Gray, Kimberly is an individual health care provider with primary practice located at 4111 S 108Th St , Greenfield WI 53228-1905. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gray, Kimberly can be contacted via phone (262) 716-5326.

Contact Information

Primary practice address
4111 S 108Th St Greenfield WI 53228-1905
Phone: (262) 716-5326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11507-33 Wisconsin

Profile Details

NPI number 1013689686
LBN Legal business name Gray, Kimberly
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2021
Last updated Oct 29th, 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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