Provider Demographics
NPI:1437115383
Name:RAYLS, KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:RAYLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10300 W CHARLESTON BLVD
Mailing Address - Street 2:#13-180
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1037
Mailing Address - Country:US
Mailing Address - Phone:702-796-0022
Mailing Address - Fax:702-796-0038
Practice Address - Street 1:8530 W SUNSET RD
Practice Address - Street 2:SUITE 240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2215
Practice Address - Country:US
Practice Address - Phone:702-796-0022
Practice Address - Fax:702-796-0038
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV7930208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019833Medicaid
NV31949Medicare ID - Type Unspecified
NV002019833Medicaid