Kenneth Wayne Gray (NPI# 1033147376, PAC ID# 0042334716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1033147376 |
| PAC ID by PECOS | 0042334716 |
| Professional Enrollment ID | I20100901000830 |
| Full Name | Kenneth Wayne Gray |
| Address |
601 Harvey St Radford VA 24141-2339 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490116 | LEWISGALE HOSPITAL PULASKI |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 601 Harvey St, Radford, VA 24141-2339 |
| Street Address |
601 HARVEY ST |
| City | RADFORD |
| State | VA |
| Zip | 24141-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerry B Donnelly | Orthopedic Surgery | Radford Orthopedic Center, P.C. | 601 Harvey St, Radford, VA 24141-2339 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Farley | Optometry | Infinity Eye Care, Inc | 7350 Peppers Ferry Boulevard, Radford, VA 24141 |
| Sarah J Erwin | Optometry | Infinity Eye Care, Inc | 7350 Peppers Ferry Boulevard, Radford, VA 24141 |
| Philip E Cooley | Chiropractic | 601 3rd St, Radford, VA 24141-1409 | |
| Susan R Fisher | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 31 W Main St, Radford, VA 24141-1579 |
| Sudhendu Choubey | Cardiovascular Disease (cardiology) | Physicians Care of Virginia PC | 401 E Main St, Radford, VA 24141-1721 |
| Susan Irene Gaither | Nurse Practitioner | Derm One Pllc | 1804 Be Main St, Radford, VA 24141-1763 |
| Chad S Caskey | Physician Assistant | Derm One Pllc | 1804 Be Main St, Radford, VA 24141-1763 |
| Joanne F Dillon | Qualified Audiologist | 616 W Main St, Suite G, Radford, VA 24141-1780 | |
| Gwynn Polidoro | Clinical Social Worker | 600 E Main, Suite C, Radford, VA 24141-1786 | |
| Meredith A Spencer | Nurse Practitioner | Christiansburg Internal Medicine, LLC | 614 E Main St, Suite B, Radford, VA 24141-1818 |
| Find all physicians in zip 24141 | |||
| City | RADFORD |
| Zip Code | 24141 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | RADFORD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kenneth Wayne Gray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.