Individual
MS. KIMBERLY A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
620 S TAYLOR AVE, DIV IM INFECTIOUS DISEASE, STE 100, SAINT LOUIS, MO 63110-1035
(314) 362-9098
(314) 362-9851
Mailing address
660 S EUCLID AVE, CB 8052, SAINT LOUIS, MO 63110-1010
(314) 362-1700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
121272
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427003702
—
MO
Enumeration date
02/21/2007
Last updated
11/15/2021
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