Individual
RAVEN WHITNEY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
110 3RD ST, SUITE 180, HENDERSON, KY 42420-2993
(270) 827-3573
(270) 827-1250
Mailing address
1305 N ELM ST, MEDICAL STAFF OFFICE, HENDERSON, KY 42420-2783
(270) 631-2412
(270) 827-7475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010103
KY
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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