Individual
KENNETH ALLEN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021
(212) 606-1613
Mailing address
200 E 27 ST 3B, NEW YORK, NY 10016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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