Individual
DR. KENNETH ALBERT RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DBH, MED
Contact information
Practice address
4200 WOODHAVEN CT, ASHLAND, KY 41102-5781
(606) 694-3031
Mailing address
PO BOX 1481, ASHLAND, KY 41105-1481
(606) 694-3031
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LH00011229
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-4220408
IRS
—
01
—
274220406
IRS
—
Enumeration date
02/20/2007
Last updated
01/03/2024
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