Individual
KATHY RUTH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, CAC
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 726-8638
Mailing address
1413 RED ROCK DR, GALLUP, NM 87301-5647
(505) 409-7200
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5622
CERTIFIED NURSE MIDWIFE
—
01
—
RN0000103139
RN LICENSURE
TN
Enumeration date
03/30/2007
Last updated
10/17/2013
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