Individual
KELLY M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20010 CENTURY BLVD STE 200, GERMANTOWN, MD 20874-1118
(323) 547-6444
Mailing address
20010 CENTURY BLVD STE 200, GERMANTOWN, MD 20874-1118
(323) 547-6444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0085941
MD
207P00000X
Emergency Medicine Physician
EMTL-2020-024
GU
207P00000X
Emergency Medicine Physician
M-2252
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/08/2013
Last updated
08/17/2021
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