Individual
KIMBERLY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
65 AIRPORT PKWY, GREENWOOD, IN 46143-1439
(317) 887-1348
Mailing address
2382 E WINDING BROOK CIR, BLOOMINGTON, IN 47401-4382
(812) 327-2810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28212858A
IN
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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