Provider Demographics
NPI:1841762952
Name:RAY, KENDRA G (CSA)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:G
Last Name:RAY
Suffix:
Gender:F
Credentials:CSA
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Mailing Address - Street 1:3180 N POINT PKWY STE 207
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4381
Mailing Address - Country:US
Mailing Address - Phone:770-559-8725
Mailing Address - Fax:770-559-8276
Practice Address - Street 1:3180 N POINT PKWY STE 207
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4381
Practice Address - Country:US
Practice Address - Phone:770-559-8725
Practice Address - Fax:770-559-8276
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant