Individual
KIMBRELEE KAYE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
15311 CORTEZ BLVD, BROOKSVILLE, FL 34613-6005
(352) 540-9335
Mailing address
15311 CORTEZ BLVD, BROOKSVILLE, FL 34613-6005
(352) 540-9335
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11019969
FL
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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