Provider Demographics
NPI:1902694227
Name:GRAY, KAREN ESTINE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ESTINE
Last Name:GRAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 7TH ST NE APT 123
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1402
Mailing Address - Country:US
Mailing Address - Phone:202-749-4081
Mailing Address - Fax:
Practice Address - Street 1:3000 7TH ST NE APT 123
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1402
Practice Address - Country:US
Practice Address - Phone:202-749-4081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant