Individual
DR. KEVIN L. RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
718 BROUGHTON ST, ORANGEBURG, SC 29115
(803) 531-2888
Mailing address
718 BROUGHTON ST, ORANGEBURG, SC 29115-6648
(803) 531-2888
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00348110
RR MEDICARE
SC
05
—
PD5701
—
SC
Enumeration date
06/26/2006
Last updated
04/14/2026
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