Individual
KATHERINE A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, UH 1501, INDIANAPOLIS, IN 46202-5149
(317) 948-1310
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71006339A
IN
363LF0000X
Family Nurse Practitioner
28200762A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006339A
IN
Other
Enumeration date
07/07/2016
Last updated
12/28/2020
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