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1659991354 NPI number — KALIE RAY RM, CPM

NPI Number: 1659991354
Health Care Provider/Practitioner: KALIE RAY RM, CPM

Information about “1659991354” NPI (KALIE RAY RM, CPM) exists in 1659991354 in HTML format HTML  |  1659991354 in plain Text format TXT  |  1659991354 in PDF (Portable Document Format) PDF  |  1659991354 in an XML format XML  formats.

NPI Number : 1659991354 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659991354",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAY",
    "FirstName": "KALIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RM, CPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1888",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PAGOSA SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81147-1888",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-903-2111",
    "MailingAddressFaxNumber": "970-507-6003",
    "FirstLinePracticeLocationAddress": "279 DEER TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PAGOSA SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81147-9637",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-903-2111",
    "PracticeLocationAddressFaxNumber": "970-507-6003",
    "EnumerationDate": "04/22/2020",
    "LastUpdateDate": "04/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "176B00000X",
        "TaxonomyName": "Midwife",
        "LicenseNumber": "MWR.000194",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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