Individual
KIM ELAINE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 W I 44 SERVICE RD STE 202, OKLAHOMA CITY, OK 73112-3762
(405) 517-3778
Mailing address
2629 W I 44 SERVICE RD STE 202, OKLAHOMA CITY, OK 73112-3762
(405) 517-3778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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