MEDICARE: DR. KEVIN RAYLS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	7930	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437115383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN RAYLS M.D.

Provider Business Mailing Address
First Line	:	10300 W CHARLESTON BLVD
Second Line	:	#13-180
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1037
Country	:	US
Telephone Number	:	702-796-0022
Fax Number	:	702-796-0038

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2215
Country	:	US
Telephone Number	:	702-796-0022
Fax Number	:	702-796-0038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	02/13/2012

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