Individual
MRS. KATHRYN MICHELE WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 256-5483
Mailing address
24 OSPREY RD, BECKLEY, WV 25801-3684
(928) 279-8010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4379
AZ
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414740
—
AZ
Enumeration date
10/28/2008
Last updated
01/09/2017
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