Kecia Spencer Ray is a Specialist in Jackson, Mississippi. Kecia Spencer Ray practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kecia Spencer Ray is 1225209489. The last update date is 2008-03-17.
Kecia Spencer Ray's current location address is 1635 Boling St, Jackson, Mississippi. You can contact this provider via phone number 6013660123 and fax number 6013660649. The mailing address for Kecia Spencer Ray is 1635 Boling St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kecia Spencer Ray |
|---|---|
| Address | 1635 Boling St, Jackson, Mississippi |
| Phone Number | 6013660123 |
| Fax Number | 6013660649 |
| Sole Proprietor | Y |
| Credentials | O.T.R. |
NPI Number Detail
| NPI Number | 1225209489 |
|---|---|
| Provider Enumeration Date | 2008-03-17 |
| Last Updated Date | 2008-03-17 |
Provider Mailing Address Detail
| Address | 1635 Boling St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392134418 |
| Phone Number | 6013660123 |
| Fax Number | 6013660649 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | OT1337 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9015618 | MS | -- |
Post Comment/ Review Below
What is the Kecia Spencer Ray's unique identification number?
The Kecia Spencer Ray has been assigned the NPI (National Provider Identifier) Number 1225209489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kecia Spencer Ray's facilities are situated?
The facilities of Kecia Spencer Ray are physically located at the following address: 1635 Boling St, Jackson, MS, 392134418.
What is Kecia Spencer Ray's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kecia Spencer Ray is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When was the Kecia Spencer Ray's 1225209489 issued?
The Kecia Spencer Ray's 1225209489 was issued on 2008-03-17.
When was the information regarding Kecia Spencer Ray most recently updated?
The details pertaining to the Kecia Spencer Ray, including its address, specialty, and other relevant information, were last refreshed on 2008-03-17.