Provider Demographics
NPI:1508826967
Name:RAY, KANDICE (RN)
Entity Type:Individual
Prefix:MS
First Name:KANDICE
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Mailing Address - Street 2:ATTEN: MCEUL-DCCS(CREDENTIALS), CMR 402
Mailing Address - City:APO,AE
Mailing Address - State:GERMANY
Mailing Address - Zip Code:09180
Mailing Address - Country:DE
Mailing Address - Phone:01149637-186-8839
Mailing Address - Fax:
Practice Address - Street 1:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - Street 2:ATTEN: PREVENTIVE MEDICINE, APHN CMR 402
Practice Address - City:APO,AE
Practice Address - State:GERMANY
Practice Address - Zip Code:09180
Practice Address - Country:DE
Practice Address - Phone:01149637-186-7002
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI45671163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health