Individual
KATELYN ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
129 E REDSTONE AVE STE A, CRESTVIEW, FL 32539-5350
(850) 682-7212
Mailing address
801 TEE ST, NICEVILLE, FL 32578-3019
(817) 456-8685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11031841
FL
Other
Enumeration date
08/29/2024
Last updated
05/14/2025
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