Individual
MRS. KELLY LYNN RAYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(620) 474-4047
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(620) 474-4047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-101111-032
KS
363LF0000X
Family Nurse Practitioner
Primary
53-76219-032
KS
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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