Individual
ELIZABETH WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9989
(316) 689-9972
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1065323
WY
133V00000X
Registered Dietitian
Primary
2041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
830168495
VETERAN AFFAIRS
WY
Enumeration date
08/06/2014
Last updated
12/03/2015
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