Organization
VALLEYVIEW FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALAUNDA KAYE GRAY MD (PHYSICIAN)
(913) 839-8614
Entity
Organization
Contact information
Practice address
13839 S MUR LEN RD, SUITE H, OLATHE, KS 66062-1685
(913) 839-8614
Mailing address
13839 S MUR LEN RD, SUITE H, OLATHE, KS 66062-1685
(913) 839-8614
(913) 839-8615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0430824
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266760H
—
KS
01
—
34398046
BCBS OF KANSAS
KS
Enumeration date
10/20/2014
Last updated
12/16/2014
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