Individual provider · Type 1 NPI

Khea Gray, LVN

Licensed Vocational Nurse · San Jacinto, CA

NPI number 1497168959 Active

Practice location

102 W Main St
San Jacinto, CA 92583-4121

Mailing address

PO Box 3868
Hemet, CA 92546-3868

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X274500 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1497168959

Khea Gray, LVN's National Provider Identifier is 1497168959, issued on Jun 3, 2014. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Jacinto, CA. The record was last updated on Jun 3, 2014.