Individual
EMILY KIRSTYN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5510 NIKE DR, HILLIARD, OH 43026-9081
(614) 529-4260
(614) 529-4270
Mailing address
5510 NIKE DR, HILLIARD, OH 43026-9081
(614) 529-4260
(614) 529-4270
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.134277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173366
—
OH
Enumeration date
04/01/2016
Last updated
07/23/2019
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