National Provider Identifier Database

KELLY L RAY, PA-C – NPI #1609182310
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

KELLY L RAY, PA-C
1581 OLD HWY 66, UNIT 1
EDGEWOOD, NM, NM87015
Phone: 505-286-2396
Fax: 505-286-2398
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for KELLY L RAY

NPI Number 1609182310
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/19/2010
Last updated 08/15/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • NM License #: PA2010-0035
  • NM Medicaid: 07533322
Hospital affiliation n/a

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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