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Individual
DR. JONATHAN RAY
Active
Individual
DR. JONATHAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38020
KY
208M00000X
Hospitalist Physician
Primary
38020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306523
ANTHEM BLUE CROSS
KY
01
—
50001321
PASSPORT
KY
05
—
64070618
—
KY
01
—
P00039174
RAILROAD MEDICARE
KY
01
—
P00420128
RAILROAD MEDICARE KY
KY
Enumeration date
03/17/2006
Last updated
12/17/2014
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