Keely Jean Gray, LPN is a
Licensed Practical Nurse based in Ravenden, Arkansas. Keely Jean Gray is licensed to practice in Arkansas (license number L059580) and her current practice location is
745 Highway 90 N, Ravenden, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 810-0370.
NPI number for Keely Jean Gray is 1538081997 and her current mailing address is 745 Highway 90 N, Ravenden, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538081997.
Provider's Profile
| Full Name | Keely Jean Gray |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 745 Highway 90 N, Ravenden, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538081997
- Provider Enumeration Date: 07/28/2026
- Last Update Date: 07/28/2026
Medical Identifiers
Medical identifiers for Keely Jean Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538081997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | L059580 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keely Jean Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keely Jean Gray, LPN 745 Highway 90 N, Ravenden, AR 72459-9091 Ph: (870) 810-0370 | Keely Jean Gray, LPN 745 Highway 90 N, Ravenden, AR 72459-9091 Ph: (870) 810-0370 |
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