Individual
KRISTI M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 N HENDERSON AVE, SEVIERVILLE, TN 37862-5948
(865) 374-7100
Mailing address
6800 BAUM DR, KNOXVILLE, TN 37919-7315
(865) 374-7100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
67987
TN
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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