Individual
MISS KATELYNN MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2805 5TH ST, RAPID CITY, SD 57701-6003
(605) 755-5700
Mailing address
13959 TELLURIDE ST, SUMMERSET, SD 57769-6207
(605) 431-0218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002506
SD
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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