Provider Demographics
NPI:1831396571
Name:RAYFIELD-CRAVENS, DORIS JEAN (COF)
Entity type:Individual
Prefix:MS
First Name:DORIS
Middle Name:JEAN
Last Name:RAYFIELD-CRAVENS
Suffix:
Gender:F
Credentials:COF
Other - Prefix:MS
Other - First Name:DORIS
Other - Middle Name:JEAN
Other - Last Name:RAYFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COF
Mailing Address - Street 1:2608 E 73RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1860
Mailing Address - Country:US
Mailing Address - Phone:816-779-1442
Mailing Address - Fax:816-361-6737
Practice Address - Street 1:2608 E 73RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1860
Practice Address - Country:US
Practice Address - Phone:816-779-1442
Practice Address - Fax:816-361-6737
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor