Individual
KIM R GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
115 KINSEY LN, HOT SPRINGS, AR 71913-9291
(501) 760-2526
(501) 760-2526
Mailing address
115 KINSEY LN, HOT SPRINGS, AR 71913-9291
(501) 760-2526
(501) 760-2526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT773
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T777
BLUE CROSS PROVIDER ID
AR
Enumeration date
04/18/2006
Last updated
07/08/2007
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