Individual
KATHLEEN MARIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1223 MERCY DR, MUSKEGON, MI 49444-1829
(231) 672-3500
(313) 432-7758
Mailing address
1223 MERCY DR, MUSKEGON, MI 49444-1829
(231) 672-2120
(313) 432-7758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N27530063
MEDICARE
MI
Enumeration date
05/28/2009
Last updated
11/05/2024
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