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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KELLY LEE RAY, PA-C

Active Sole Proprietor

MS. KELLY LEE RAY, PA-C is a Physician Assistant healthcare provider located in EDGEWOOD, NM, New Mexico. NPI 1609182310 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EDGEWOOD, NM, NM

Registration Details

NPI Number
1609182310
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2010 (15.967093701539 yrs)
Last Updated
Aug 15, 2024
License
PA2010-0035 (NM)
Sole Proprietor
Yes

Practice Information

Address
1581 OLD HWY 66, UNIT 1
EDGEWOOD, NM, NM, 87015
Browse NM providers · Browse ZIP 87015
Phone
5052862396
Fax
5052862398
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.