| Kray Medical, Llc | |
|
6353 2nd St Wilmer AL 36587-4453 | |
| (251) 753-4008 | |
| Not Available |
| Full Name | Kray Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6353 2nd St, Wilmer, Alabama |
| Authorized Official Name and Position | Kristina Ray (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2517534008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kray Medical, Llc 3613 Pelham Dr Mobile AL 36619-4430 Ph: () - | Kray Medical, Llc 6353 2nd St Wilmer AL 36587-4453 Ph: (251) 753-4008 |
| NPI Number | 1871333872 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 1254870025 |
|---|---|
| Medicare Enrollment ID | O20240823002485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871333872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristina E Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598831422 PECOS PAC ID: 3779677596 Enrollment ID: I20070924000360 |
| Provider Name | Emily Williams Venatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437501475 PECOS PAC ID: 7517245269 Enrollment ID: I20250409000064 |
Wilmer Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6353 2nd St, Wilmer, AL 36587 Phone: 251-410-7425 Fax: 251-649-6200 |