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Individual

DON A RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 HOSPITAL RD, TELL CITY, IN 47586-2750
(800) 737-7011
(812) 547-0174
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3007891
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1082340
RN LICENSE
KY
01
3007891
APRN LICENSE
KY
Enumeration date
02/04/2013
Last updated
02/04/2013
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