# KIMBERLY L RAY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659444925
- **Authorized official:** KIMBERLY L RAY NP (OWNER)
- **Authorized official phone:** (615) 740-7322

## Contact information

- **Practice address:** 2409 HIGHWAY 70 E, SUITE 4 OR 5, DICKSON, TN 37055-6126
- **Practice address phone:** (615) 740-7322
- **Practice address fax:** (615) 740-7304
- **Mailing address:** 2409 HIGHWAY 70 E, SUITE 4 OR 5, DICKSON, TN 37055-6126
- **Mailing address phone:** (615) 740-7322
- **Mailing address fax:** (615) 740-7304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 12/17/2012