Organization Name: | KAY FAMILY PRACTICE, PLLC |
NPI Number: | 1063680981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH KAY (OWNER) |
Mailing Address: | 24748 W Warren St Dearborn Hts |
State: | MI US |
Postal Code: | 481272109 |
Phone Number: | 3132781820 |
Fax Number: | 3132788281 |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 05/15/2008 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |