| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KERRY GRAY | 1942946462 | 2022-05-08 |
Kerry Gray is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942946462. Registration indicates Kerry Gray is a provider of services with a specialization in Other Service Providers, Case Manager/Care Coordinator (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Kerry Gray |
| Practice Office Address | 41 ST ANDREWS CIR BROKEN ARROW, OK US |
| Practice Office Telephone | 9182848221 |
| Mailing Address | 41 ST ANDREWS CIR BROKEN ARROW, OK 740111128 US |
| Business Telephone | 9182848221 |
| Code | Practice | License No State |
|---|---|---|
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |