Individual
WILLIAM TERRY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
234 GOODMAN STREET, CINCINNATI, OH 45219
(513) 558-4194
(513) 872-8385
Mailing address
3200 BURNET AVE, 3 SOUTH CREDENTIALING, CINCINNATI, OH 45229
(513) 872-7100
(513) 872-7385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA07743NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN254954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0993233
—
OH
05
—
200031380
—
IN
05
—
74007725
—
KY
Enumeration date
07/08/2008
Last updated
01/14/2014
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