| Doctor Name: | DR. SCOTT KEVIN GRAY |
| NPI Number: | 1275521601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 1597 |
| Business Practice Address: | 8604 Dollarway Rd White Hall, AR - 716022814 |
| Business Phone Number: | 8705363669 |
| Business Fax Number: | 8705360149 |
| Mailing Address: | 8604 Dollarway Rd, WHITE HALL |
| State: | AR |
| Postal Code: | 716022814 |
| Phone Number: | 8705363669 |
| Fax Number: | 8705360149 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1597 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |