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Contact Information

KAYLIE M RAY
1400 E HANNA AVE
INDIANAPOLIS, IN46227-3697
 Phone: 317-788-3368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KAYLIE M RAY · (Female)

NPI # 1629768411
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2023
Last updated 05/15/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 2400-53-1479
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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