Individual
HOLLY R RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,ANP
Contact information
Practice address
6860 W 115TH ST, OVERLAND PARK, KS 66211-2457
(913) 217-3521
Mailing address
2700 SWIFT AVE, APT 102, KANSAS CITY, MO 64116-3184
(816) 288-9223
(866) 616-0686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2011005427
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
75345
KS
Other
Enumeration date
02/07/2011
Last updated
01/25/2017
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