Individual
MRS. MEGHANN REYNOLDS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8014
(812) 473-2060
Mailing address
1401 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8014
(812) 473-2060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001003167
NC
363A00000X
Physician Assistant
Primary
10002829A
IN
363A00000X
Physician Assistant
PA00135
MS
363A00000X
Physician Assistant
PA3173
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1341PA
—
SC
01
—
1683J
BCBSNC
NC
05
—
300072217
—
IN
05
—
7100886350
—
KY
05
—
8102481
—
NC
01
—
834026
WELLCARE OF SC
SC
01
—
9657842
AENTA
—
01
—
P01223903
MEDICARE-RAILROAD
NC
Enumeration date
06/24/2010
Last updated
07/01/2025
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