Individual provider · Type 1 NPI

Kerry Gregory, PA

Surgical Physician Assistant · Annapolis, MD

NPI number 1306904966 Active

Practice location

600 Ridgely Ave, Sutie 130
Annapolis, MD 21401-1001

Fax (410) 266-0895

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1070062 (NY)
Surgical Physician Assistant Primary 363AS0400XC03923 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1306904966

Kerry Gregory, PA's National Provider Identifier is 1306904966, issued on Dec 5, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Annapolis, MD. The record was last updated on Mar 8, 2010.