Individual
KAYLEE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 745-3525
(406) 745-4721
Mailing address
PO BOX 880, SAINT IGNATIUS, MT 59865-0880
(406) 745-3525
(406) 745-4721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-145824
MT
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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