Individual
RILEY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-8384
(913) 588-8384
Mailing address
2800 CLAY EDWARDS DR, CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT, NORTH KANSAS CITY, MO 64116-3220
(816) 691-1655
(816) 346-7250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025039489
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2022
Last updated
09/18/2025
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