Ken Gray Company Inc.
NPI #1184081374 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1184081374
- Entity Type
- Organization
- Organization Name
- Ken Gray Company Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KEN GRAY COMPANY INC.
- Primary Specialty
- Anesthesiologist Assistant
- Enumeration Date
- Jan 20, 2016
- Last Updated
- Jan 20, 2016
Practice Location
- Address
- 451 MALLVIEW LN
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2974
- Phone
- (630) 914-5065
Authorized Official
- Name
- DR. KENNETH GRAY SR.
- Title
- PRESIDENT/ CLINICAL DIRECTOR
- Phone
- (630) 914-5065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Pathology - Medical Laboratory — Medical Laboratory |
| Technician, Pathology - Phlebotomy — Phlebotomy |
| Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician |
| Anesthesiologist Assistant |
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