Individual
KARA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN; NP-C; FNP
Contact information
Practice address
4607 MACCORKLE AVE SW STE 406, SOUTH CHARLESTON, WV 25309-1364
(304) 766-4342
(304) 766-3541
Mailing address
4607 MACCORKLE AVE SW STE 406, SOUTH CHARLESTON, WV 25309-1364
(304) 766-4342
(304) 766-3541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79978
WV
Other
Enumeration date
09/19/2018
Last updated
01/27/2020
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