KELLIE M GRAY PC
NPI 1720336324
Chiropractor in Glendale, AZ

Active since August 29, 2012
17215 N 72ND DR, SUITE A105, GLENDALE, AZ 85308(623) 334-4056(623) 334-4060 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie M Gray Pc NPPES

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

KELLIE M GRAY PC (NPI 1720336324) is a healthcare organization registered as a chiropractor in Glendale, Arizona and active in the NPI registry since August 2012. The organization lists Kellie M Gray, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1720336324
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKELLIE M GRAY PC
Location Address17215 N 72ND DR, SUITE A105Glendale, AZ 85308-8558
Mailing Address17215 N 72nd Dr, Suite A105Glendale, AZ 85308-8558 · (623) 334-4056 · Fax (623) 334-4060
Fax(623) 334-4060
Organization SubpartNo
Authorized OfficialKellie M GrayPresident/ceo · (623) 980-9508
Enumeration DateAugust 29, 2012
NPI 1720336324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 4710
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

17215 N 72ND DR, Glendale, AZ 85308

Other Identifiers 4

OtherZ DC 4710AZ · Medicare Provider Number
Medicare UPINT20809AZ
Other1700842838AZ · Npi Associated With My Ssn
Other4710AZ · Chiropractic License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
17215 N 72ND DR
GLENDALE, AZ 85308
Chiropractor
17215 N 72ND DR, STE 105
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
17215 N 72ND DR, D-140A
GLENDALE, AZ 85308
Social Worker (Clinical)
17215 N 72ND DR, SUITE D140
GLENDALE, AZ 85308
Family Medicine
17215 N 72ND DR, SUITE C-125
GLENDALE, AZ 85308
Dentist (General Practice)
17215 N 72ND DR, STE A100
GLENDALE, AZ 85308
Chiropractor (Internist)
17215 N 72ND DR, SUITE 105
GLENDALE, AZ 85308
Psychiatry & Neurology (Psychiatry)
17215 N 72ND DR, BUILDING D 140A
GLENDALE, AZ 85308

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 M Gray PC's NPI number?

The NPI number for Kellie M Gray PC is 1720336324. It was assigned to this organization in the NPPES registry on August 29, 2012.

Where is Kellie M Gray PC located?

Kellie M Gray PC is located at 17215 N 72nd Dr Suite A105, Glendale, AZ 85308. The listed phone number is (623) 334-4056.

What is Kellie M Gray PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kellie M Gray PC was last updated on August 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.