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NPI Code Detail

MEDICARE: MS. KATHRYN LYNN CRAY C.N.P.

MEDICARE: MS. KATHRYN LYNN CRAY C.N.P.
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
1163W00000XRegistered Nurse11808-NPOH
2363LF0000XFamily Nurse PractitionerCOA.11808-NPOH

General Provider Information

NPI Number : 1629387592
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN LYNN CRAY C.N.P.
Provider Business Mailing Address
First Line : 100 MADISON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 W CENTRAL AVE STE 100
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3817
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 10/21/2024

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