| Kristin Ray, | |
|
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
| (605) 355-2500 | |
| Not Available |
| Full Name | Kristin Ray |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205112646 | NPI | - | NPPES |
| 5549050 | Medicaid | SD | |
| 0140070 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043083321 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Ray, 1845 Harmony Heights Ln, Apt #104, Rapid City, SD 57702-6245 Ph: () - | Kristin Ray, 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2500 |
Alicia Mae Thompson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 North St, Rapid City, SD 57701 Phone: 605-343-0650 Fax: 605-342-3692 | |
Kathy Hogg, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 | |
Pauline A Larvie, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 Fax: 605-355-2512 | |
Stacey Boyd, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 Fax: 605-355-2512 | |
Diane Marie Opbroek, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 North St, Rapid City, SD 57701 Phone: 605-343-0650 Fax: 605-342-3692 | |
Sydny Koryn Nash-fenner, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 |