Individual
DR. KEVIN LEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
207 E OAK ST, MAHOMET, IL 61853-9213
(217) 586-3886
(217) 586-4848
Mailing address
207 E OAK ST, MAHOMET, IL 61853-9213
(217) 586-3886
(217) 586-4848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004162
IL
Other
Enumeration date
08/31/2006
Last updated
11/21/2012
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