| Doctor Name: | MRS. KATE JENNINGS RAY |
| NPI Number: | 1073794285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMH-NP |
| License Number: | 0024167551 |
| Business Practice Address: | 700 24th St Attn: Mcxo-bhs Fort Lee, VA - 238011716 |
| Business Phone Number: | 8047349143 |
| Business Fax Number: | 8047349188 |
| Mailing Address: | 700 24th St, Attn: Mcxo-bhs FORT LEE |
| State: | VA |
| Postal Code: | 238011716 |
| Phone Number: | 8047349143 |
| Fax Number: | 8047349188 |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 0024167551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |