KELLY GRAY (NPI# 1821312224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821312224 |
| Entity Type | Individual |
| Full Name | KELLY GRAY |
| Practice Address |
330 Shamrock Rd Manchester KY 40962-9201 |
| Mailing Address |
Po Box 158 Manchester KY 40962-0158 |
| Practice Telephone | 6065982425 |
| Practice Fax Number | 6065984448 |
| Mailing Telephone | 6065985564 |
| Mailing Fax Number | 6065986615 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | R.D. | KY-2130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951491 | Kelly L Gray | Registered Nurse | 21410 N 19th Ave Ste 114, Phoenix, AZ 85027-2755 | 2018-02-05 |
| 1114328242 | Kelly Gray | Massage Therapist | 7792 Patton Rd, Dane, WI 53529-9715 | 2014-09-08 |
| 1891043675 | Kelly Gray | Massage Therapist | 510 State Ave Ste 3, Hampton, IL 61256-9690 | 2012-08-27 |
| 1700145281 | Kelly Gray | Pharmacist | 16212 Monnet Place Ct, Charlotte, NC 28278-0099 | 2012-05-03 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1811219736 | Kelly Gray | Pharmacist | 41 Albany Sreet, Cazenovia, NY 13035 | 2010-02-19 |
| 1417019076 | Kelly A. Gray | Physical Therapist | 42 E 32nd St, Bayonne, NJ 07002-4709 | 2006-12-13 |
| 1700346798 | Kelly Gray | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-25 |
| 1134511314 | Kelly Gray | Speech-Language Pathologist | 815 Triplett St, Owensboro, KY 42303-3564 | 2015-02-25 |
| 1215333232 | Kelly Ann Baker Gray | Behavioral Analyst | 12040 98th Ave Ne, Suite 204, Kirkland, WA 98034-4290 | 2014-11-18 |
| Street Address |
330 SHAMROCK RD |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1558763458 | Emily Haffner | Dietitian, Registered | 738 Galway Dr, Manchester, MO 63021-7117 | 2014-09-23 |
| 1376958926 | Cindy Cohen | Dietitian, Registered | 150 Jacqueline Dr, Manchester, CT 06040-7069 | 2014-06-23 |
| 1306278411 | Julie Batulevitz | Dietitian, Registered | 140 Eldridge St, Manchester, CT 06040-6112 | 2013-07-31 |
| 1346511078 | Leslie Ann Bullock | Dietitian, Registered | 195 Mcgregor St Ste 312, Manchester, NH 03102-3749 | 2012-01-26 |
| 1174825525 | Joanne Lenore Lahiff | Dietitian, Registered | 100 Mcgregor St., Catholic Medical Center, Diabetes Resource Institute Level B, Manchester, NH 03102-3730 | 2010-11-17 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1396930533 | Margaret Anne Steeb | Dietitian, Registered | 216 N. Washington St, Unit # 3, Manchester, MI 48158-0504 | 2007-09-11 |
| 1811063977 | Robert Lucky Rosenfield | Dietitian, Registered | 1002 Dauphine Ln, Manchester, MO 63011-4116 | 2006-11-28 |
| 1194739409 | Cathy Louise Mcdonough | Dietitian, Registered | 718 Smyth Rd # 120, Manchester, NH 03104-7004 | 2006-07-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
Please comment or provide details below to improve the information on KELLY GRAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.