# DR. DENNIS S GRAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942202288
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21462 | KY | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 06/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000600891 | BC BS | — |
| 01 | — | 080135036 | RR MEDICARE | KY |
| 01 | — | 3633466000 | PASSPORT ADVANTAGE | KY |
| 01 | — | 4380607 | AETNA | KY |
| 01 | — | 50021730 | PASSPORT | KY |
| 05 | — | 64214620 | — | KY |
| 01 | — | 6896823 | CIGNA | KY |