Individual
NICOLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22214 D ST, WINFIELD, KS 67156-7376
(620) 442-4540
Mailing address
22214 D ST, WINFIELD, KS 67156-7376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-129599-091
KS
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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