Individual
RAY A ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
246 COMMONWEALTH ROAD, VANCEBURG, KY 41179
(606) 796-0010
(606) 796-0011
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-6942
(740) 356-7851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
021924
OH
363L00000X
Nurse Practitioner
Primary
3011811
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255888
—
OH
05
—
7100529910
—
KY
Enumeration date
10/11/2017
Last updated
05/15/2023
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