| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KYRA RAY | 1154948925 | 2020-06-28 |
Kyra Ray is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154948925. Registration indicates Kyra Ray is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Kyra Ray MD |
| Practice Office Address | 415 GEORGIA ST VALLEJO, CA US |
| Practice Office Telephone | 7075568100 |
| Mailing Address | 415 GEORGIA ST VALLEJO, CA 945906004 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 210 Hospital Dr | Vallejo, CA 945892517 | 7076457316 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 182952
CA |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |