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MRS. KIMBERLY GRAY FNP-BC
NPI 1013689686
Nurse Practitioner - Family in Greenfield, WI

Active since October 01, 2021
4111 S 108TH ST, GREENFIELD, WI 53228(262) 716-5326 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kimberly Gray Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIMBERLY GRAY FNP-BC (NPI 1013689686) is an individual family provider in Greenfield, Wisconsin, licensed in Wisconsin (11507-33) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1013689686
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY GRAYCredential: FNP-BC
Location Address4111 S 108TH STGreenfield, WI 53228-1905
Mailing Address30815 Royal Hill RdBurlington, WI 53105-7762 · (262) 716-5326
Phone(262) 716-5326
Sole ProprietorNo
Enumeration DateOctober 1, 2021
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1013689686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 11507-33
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4111 S 108TH ST, Greenfield, WI 53228
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Gray's NPI number?

The NPI number for Kimberly Gray is 1013689686. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Kimberly Gray located?

Kimberly Gray practices at 4111 S 108th St, Greenfield, WI 53228. The listed phone number is (262) 716-5326.

What is Kimberly Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Gray was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.