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Individual

DR. JASON GORDON GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
9001 STATE LINE RD # 300, KANSAS CITY, MO 64114-3232
(816) 363-2600
(816) 523-0068
Mailing address
9001 STATE LINE RD # 300, KANSAS CITY, MO 64114-3232
(816) 363-2600
(816) 523-0068

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020038488
MO
363LF0000X
Family Nurse Practitioner
Primary
53-78788-072
KS

Other

Enumeration date
06/11/2019
Last updated
08/19/2022
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