Ray, Kimberly L
Ray, Kimberly L is an sole proprietor health care provider with primary practice located at 2409 Highway 70 E , Dickson TN 37055-6126. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ray, Kimberly L can be contacted via phone (615) 740-7322.Contact Information
Primary practice address
2409 Highway 70 E
Dickson TN 37055-6126
Phone: (615) 740-7322
Fax: (615) 740-7304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 6350 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6350 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 6350 | Tennessee |
Profile Details
| NPI number | 1679664411 |
|---|---|
| LBN Legal business name | Ray, Kimberly L |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 23rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679664411 | NPPES |
| Tennessee | Other | 4078397 | BLUE CROSS BLUE SHIELD # |
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