Individual
KALEY M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, AU.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7704
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101283425
VA
208D00000X
General Practice Physician
Primary
0101283425
VA
231H00000X
Audiologist
41YA00083200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2012
Last updated
08/01/2024
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