Individual
MR. RAY LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10543 KENAI SPUR HWY, KENAI, AK 99611-7812
(907) 283-9118
(907) 283-5341
Mailing address
PO BOX 240, KENAI, AK 99611-0240
(907) 283-9118
(907) 283-5341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AK2778
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2778
—
AK
Enumeration date
01/11/2007
Last updated
02/14/2014
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