Individual
DR. JACK KENNETH GRAY JR.
Active
Individual
DR. JACK KENNETH GRAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15966
OK
2084P0800X
Psychiatry Physician
19414
TN
Other
Enumeration date
02/08/2006
Last updated
03/24/2008
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