Individual
MS. KATHLEEN LUCY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 595-3197
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 595-3197
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R0070730
OK
163WC1500X
Community Health Registered Nurse
R0070730
OK
163WD0400X
Diabetes Educator Registered Nurse
R0070730
OK
Other
Enumeration date
08/17/2006
Last updated
06/27/2017
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