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KELLIE DENISE GRAY FNP-C
NPI 1619493418
Nurse Practitioner - Family in St. Gabriel, LA

Active since August 14, 2017
6925 LA-74, ST. GABRIEL, LA 70776(225) 642-3306 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Aug 14, 2017 (2 updates tracked since 2017).

About Kellie Denise Gray Fnp-c NPPES

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

KELLIE DENISE GRAY FNP-C (NPI 1619493418) is an individual family provider in St. Gabriel, Louisiana, licensed in Louisiana (AP09561) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1619493418
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE DENISE GRAYCredential: FNP-C
Location Address6925 LA-74St. Gabriel, LA 70776
Mailing Address6925 La-74St. Gabriel, LA 70776 · (225) 642-3306
Phone(225) 642-3306
Sole ProprietorNo
Enumeration DateAugust 14, 2017
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1619493418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · AP09561
6925 LA-74, St. Gabriel, LA 70776
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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 Kellie Gray's NPI number?

The NPI number for Kellie Gray is 1619493418. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Kellie Gray located?

Kellie Gray practices at 6925 La-74, St. Gabriel, LA 70776. The listed phone number is (225) 642-3306.

What is Kellie 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 Kellie Gray was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.