Individual
KYLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US MARINE CORPS FORCES COMMAND 1775 FORRESTAL DRIVE, NORFOLK, VA 23551-2400
(910) 449-6500
Mailing address
US MARINE CORPS FORCES COMMAND 1775 FORRESTAL DRIVE, NORFOLK, VA 23551-2400
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
2084P0800X
Psychiatry Physician
29633
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
06/02/2020
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