Individual
MR. KEVIN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
3403 IMPERATOR LN, SUITE 101, LOUISVILLE, KY 40245-7710
(215) 432-9914
Mailing address
2403 GOLF RD, PHILADELPHIA, PA 19131-1416
(215) 432-9914
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
773
PA
Other
Enumeration date
07/18/2007
Last updated
12/01/2010
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