Individual
MARIA DIANE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
216 WEST BIRCH, ARKANSAS CITY, KS 67005-1107
(620) 441-5722
(620) 441-5953
Mailing address
12204 WEST HOME ROAD, BRAMAN, OK 74632
(580) 385-2377
(620) 441-5953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
411
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130477
BCBS
KS
05
—
130477
—
KS
Enumeration date
10/03/2006
Last updated
03/10/2010
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