Provider Demographics
NPI:1003014853
Name:KRAY, SARAH CAUFIELD (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CAUFIELD
Last Name:KRAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 N LINCOLN AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4877
Mailing Address - Country:US
Mailing Address - Phone:970-599-0330
Mailing Address - Fax:970-230-6811
Practice Address - Street 1:1135 N LINCOLN AVE STE 6
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537
Practice Address - Country:US
Practice Address - Phone:970-599-0330
Practice Address - Fax:970-230-6811
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2976363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI21175Medicare PIN