institution
Kellie M Gray Pc
Chiropractor in Glendale, Arizona
NPI 1720336324

Kellie M Gray Pc is a Chiropractor based in Glendale, AZ. Kellie M Gray Pc practices in Glendale, AZ. The NPI Number for Kellie M Gray Pc is 1720336324 and holds a License No. 4710 (Arizona).

The current practice location address for Kellie M Gray Pc is 17215 N 72Nd Dr, Glendale, AZ and can be reached out via phone at 623-334-4056 and via fax at 623-334-4060.

Location: 17215 N 72Nd Dr, Glendale, AZ, 85308-8558
institution
Provider Profile Details
NPI Number
1720336324
Provider Name
Kellie M Gray Pc
Credential
Provider Entity Type
Organization
Address
17215 N 72Nd Dr, Glendale, AZ, 85308-8558
Phone Number
623-334-4056
Fax Number
623-334-4060
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z DC 4710 01 AZ MEDICARE PROVIDER NUMBER
1700842838 01 AZ NPI ASSOCIATED WITH MY SSN
4710 01 AZ CHIROPRACTIC LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
17215 N 72Nd Dr
City
State
Zip
85308-8558
Phone Number
623-334-4056
Fax Number
623-334-4060
person
Provider Business Mailing Address Details
Address
17215 N 72Nd Dr
City
State
Zip
85308-8558
Phone Number
623-334-4056
Fax Number
623-334-4060
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
4710 (Arizona)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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