Individual provider · Type 1 NPI
Kyle Gray, MD
Military Health Care Provider · Norfolk, VA
NPI number
1184019879
Active
Practice location
US Marine Corps Forces Command 1775 Forrestal Drive
Norfolk, VA 23551-2400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 29633 (NE) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1184019879
Kyle Gray, MD's National Provider Identifier is 1184019879, issued on Mar 31, 2015. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Norfolk, VA. The record was last updated on Jun 2, 2020.