Organization
KIMBERLY L RAY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L RAY NP (OWNER)
(615) 740-7322
Entity
Organization
Contact information
Practice address
2409 HIGHWAY 70 E, SUITE 4 OR 5, DICKSON, TN 37055-6126
(615) 740-7322
(615) 740-7304
Mailing address
2409 HIGHWAY 70 E, SUITE 4 OR 5, DICKSON, TN 37055-6126
(615) 740-7322
(615) 740-7304
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
12/17/2012
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