Individual
DR. ROBERT E WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
810 W BRAMLEY ST, JETMORE, KS 67854-9320
(620) 357-8354
(620) 357-6460
Mailing address
711 MARSH AVE, KINSLEY, KS 67547-1129
(620) 659-2890
(620) 659-2897
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
05-22793
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230630E
—
KS
Enumeration date
09/09/2005
Last updated
09/22/2022
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