Ray, Kristin

Ray, Kristin is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ray, Kristin can be contacted via phone (605) 355-2500.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043083321 Illinois

Profile Details

NPI number 1205112646
LBN Legal business name Ray, Kristin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2011
Last updated Oct 31st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205112646 NPPES
South Dakota MEDICAID 5549050
South Dakota MEDICAID 0140070

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