Gray, Tracy

Gray, Tracy is an individual health care provider with primary practice located at 825 Euclid Ave , Kansas City MO 64124-2323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gray, Tracy can be contacted via phone (816) 889-4874.

Contact Information

Primary practice address
825 Euclid Ave Kansas City MO 64124-2323
Phone: (816) 889-4874
Fax: (816) 889-1847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2014029927 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 53-76560 Kansas

Profile Details

NPI number 1982009312
LBN Legal business name Gray, Tracy
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Oct 12th, 2016 - about 10 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 1982009312 NPPES
Missouri Other 2014029927 APRN LICENSE
Missouri MEDICAID 1982009312 APRN LICENSE
Missouri Other 53-76560 APRN LICENSE

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