Individual
KELSEY L. GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 ELECTRIC RD STE 104, ROANOKE, VA 24018-3528
(540) 562-3458
Mailing address
3222 SOUTHWOOD MANOR CT, ROANOKE, VA 24014-1308
(218) 791-3139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002635
VA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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