Individual
TERESA ANNE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 737-1212
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 737-1212
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
SA028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494025
BCBS ANTHEM
KY
01
—
204435701
HUMANA
KY
Enumeration date
03/08/2007
Last updated
05/08/2008
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