Individual
SHANNON ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6364 N COSBY AVE, KANSAS CITY, MO 64151-2344
(816) 547-1609
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017036845
MO
Other
Enumeration date
11/02/2017
Last updated
02/22/2024
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