| Kendra M Gray, PHD | |
|
109 N Main St, Henderson, KY 42420-3101 | |
| (812) 491-1307 | |
| (270) 495-4284 |
| Full Name | Kendra M Gray |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 109 N Main St, Henderson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861578171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1752 (Kentucky) | Primary |
| Entity Name | Kendra Gray Phd Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730554767 PECOS PAC ID: 7810290079 Enrollment ID: O20160121000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra M Gray, PHD Po Box 3276, Evansville, IN 47731-3276 Ph: (812) 473-0181 | Kendra M Gray, PHD 109 N Main St, Henderson, KY 42420-3101 Ph: (812) 491-1307 |
Mr. Paul A. Owen, C.P.A.F., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 2nd St, Henderson, KY 42420 Phone: 270-826-8761 Fax: 270-826-8737 | |
Dr. Michael V Farina, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1413 N Elm St, Suite 205, Henderson, KY 42420 Phone: 270-827-5469 Fax: 270-826-3201 | |
Laura Mcgrail, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 N Main St, Henderson, KY 42420 Phone: 812-773-8321 |