Provider Demographics
NPI:1184426488
Name:LATRAY, ANNA TREMAINE
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:TREMAINE
Last Name:LATRAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:TREMAINE
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7480 SW 107TH AVE APT 4110
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2990
Mailing Address - Country:US
Mailing Address - Phone:772-321-9290
Mailing Address - Fax:
Practice Address - Street 1:2800 10TH AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0703
Practice Address - Country:US
Practice Address - Phone:406-657-3952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program