| Kellie M Gray Pc | |
|
17215 N 72nd Dr, Suite A105, Glendale, AZ 85308-8558 | |
| (623) 334-4056 | |
| (623) 334-4060 |
| Full Name | Kellie M Gray Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 17215 N 72nd Dr, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720336324 | NPI | - | NPPES |
| Z DC 4710 | Other | AZ | MEDICARE PROVIDER NUMBER |
| 1700842838 | Other | AZ | NPI ASSOCIATED WITH MY SSN |
| 4710 | Other | AZ | CHIROPRACTIC LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4710 (Arizona) | Primary |
| Provider Name | Kellie M Gray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700842838 PECOS PAC ID: 3274527783 Enrollment ID: I20040408000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie M Gray Pc 17215 N 72nd Dr, Suite A105, Glendale, AZ 85308-8558 Ph: (623) 334-4056 | Kellie M Gray Pc 17215 N 72nd Dr, Suite A105, Glendale, AZ 85308-8558 Ph: (623) 334-4056 |
Charles Clark Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16222 N 59th Ave, Suite A100, Glendale, AZ 85306 Phone: 623-334-4000 Fax: 623-334-4400 | |
Dr. Daniel Duane Smith, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16390 N 59th Ave, Suite 200, Glendale, AZ 85306 Phone: 623-334-4000 Fax: 623-334-4400 | |
Robert Cucitrone, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16390 N 59th Ave Ste 200, Glendale, AZ 85306 Phone: 623-334-4000 Fax: 623-334-4400 | |
Dr. Glenn Micheels, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 17224 N 43rd Ave, Suite 105, Glendale, AZ 85308 Phone: 602-301-3013 Fax: 602-843-3787 | |
Harrison Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6006 N 83rd Ave, Suite 102, Glendale, AZ 85303 Phone: 623-872-9232 Fax: 623-872-1710 | |
Elements Of Wellness Group Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13934 N 59th Ave, 100, Glendale, AZ 85306 Phone: 602-298-8400 | |
Ace Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6770 W Deer Valley Rd, Suite B102, Glendale, AZ 85310 Phone: 623-362-1950 Fax: 623-572-2741 |