Individual
KEITH D. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1926 ALCOA HWY, STE 410, KNOXVILLE, TN 37920-1512
(865) 544-9218
(865) 305-8262
Mailing address
PO BOX 440251, NASHVILLE, TN 37244-0251
(865) 670-6199
(865) 670-6188
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35320
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3864934
—
TN
Enumeration date
09/20/2006
Last updated
09/12/2012
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