Captain K Gray MD

NPI 1861451346 - Phlebology - 202K00000X

NPI Details
NPI 1861451346
Gender Male
Enumeration Date 03/22/2006
Last Updated 02/16/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
10777 NALL AVE
#315
OVERLAND PARK KS, 66211-1362, US
Phone (913) 345-2622
Fax (913) 345-2699
Business Location
2001 BUTTERFIELD RD
SUITE 300
DOWNERS GROVE IL, 60515-1050, US
Phone (630) 725-2737
Fax (877) 216-8578
Toxanomy
Taxonomy Code 202K00000X
License State Kansas
License Number 0416656
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According to our database, Dr. Captain K Gray MD NPI is 1861451346, taxonomy code is 202K00000X and license number is 0416656, license state is located at Kansas. Captain K Gray MD physically located at 10777 Nall Ave, Overland Park KS, 66211-1362. NPI Number Captain K Gray MD has the Individual type.

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1861451346 NPI number is provided on an as is basis without warranty of any kind. 1861451346 is maintained by the National Plan & Provider Enumeration System. The contents of Captain K Gray MD are for informational purposes only.