Individual
OVETA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8396
(270) 798-8499
Mailing address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8396
(270) 798-8499
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1051485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051485
REGISTERED NURSE
KY
Enumeration date
02/06/2009
Last updated
02/06/2009
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