Provider Demographics
NPI:1427158971
Name:KAREN M. GRAY
Entity type:Organization
Organization Name:KAREN M. GRAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OR RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:01139081-811-6794
Mailing Address - Street 1:PSC 827 BOX 96
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09617
Mailing Address - Country:IT
Mailing Address - Phone:01139335-780-5610
Mailing Address - Fax:
Practice Address - Street 1:PSC 827 BOX 1000
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09617
Practice Address - Country:IT
Practice Address - Phone:01139335-780-5610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedicGroup - Single Specialty