Individual
KEVON GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2398 WOOD AVE, COLUMBUS, OH 43221-3520
(614) 204-6731
(614) 681-0353
Mailing address
433 PARK OVERLOOK DR, WORTHINGTON, OH 43085-3661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017232
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372137
—
OH
Enumeration date
04/29/2019
Last updated
09/07/2023
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