DR. Kenneth C Gray SR., P.H.D,M.D., N.D.

NPI #1427486778 in Bolingbrook, Illinois

Provider Information

NPI Number: 1427486778
Entity Type: Individual
Name: DR. Kenneth C Gray SR., P.H.D,M.D., N.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Naturopath
Credential: P.H.D,M.D., N.D.
Enumeration Date: Oct 24, 2013
Last Updated: Jan 5, 2016

Practice Location

Address: 451 MALLVIEW LN
City: Bolingbrook
State: Illinois
ZIP Code: 60440-2974
Phone: (630) 914-5065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X
Anesthesiologist Assistant	367H00000X
Health Educator	174H00000X
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X
Driver	172A00000X
Homeopath	175L00000X

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