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Contact Information

KAIESHA GRAY
3403 N STAR ST APT A
ANCHORAGE, AK99503-4583
 Phone: 907-231-6184
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
Indicates primary specialty

NPI Profile & details for KAIESHA GRAY · (Female)

NPI # 1134096332
Status Active
Credentials
Entity Individual
Enumeration date 10/21/2025
Last updated 10/21/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 102066
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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