Individual
KAYLIE M RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3697
(317) 788-3368
Mailing address
7538 ARDWELL DR, INDIANAPOLIS, IN 46237-9668
(317) 945-6091
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2400-53-1479
IN
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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