Most Relevant Information
Provider Data
| NPI Number: | 1003061953 |
| Provider Name: | KIMBERLY ANN GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/19/2008 |
| Last Updated: | 11/19/2008 |
Provider Practice Location
500 7TH AVE S
ST PETERSBURG
FL
337014820
Practice Location Phone/Fax
| Phone: | 7277676703 |
| Fax: | 7277674715 |
Provider Mailing Location
801 6TH ST S
ST PETERSBURG
FL
337014816
Provider Mailing Phone/Fax
| Phone: | 7277676703 |
| Fax: | 7277674715 |