Individual
MR. DAVID KEVIN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
407 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 487-0232
(304) 487-0285
Mailing address
PO BOX 5065, PRINCETON, WV 24740-5065
(304) 487-0232
(304) 487-0285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
50632
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003715
—
WV
Enumeration date
04/18/2006
Last updated
07/10/2008
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