Provider Demographics
NPI:1427003458
Name:KRAY, KENNETH T (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:T
Last Name:KRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12606 W HOUSTON CENTER BLVD STE 260
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2790
Mailing Address - Country:US
Mailing Address - Phone:713-596-8526
Mailing Address - Fax:713-596-8560
Practice Address - Street 1:6334 FM 2920 RD
Practice Address - Street 2:#190
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3462
Practice Address - Country:US
Practice Address - Phone:281-376-6644
Practice Address - Fax:281-376-6645
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1609207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030005369OtherMEDICARE R.R.
TX3279993OtherBLUE LINK
TX7338021OtherAETNA PPO
TX043722002Medicaid
TX2755958OtherAETNA HMO
TX6825850012OtherCIGNA
TX2755958OtherAETNA HMO
TX6825850012OtherCIGNA