Healthcare Provider Details

I. General information

NPI: 1457853269
Provider Name (Legal Business Name): MATTHEW A KAY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7219 N LITCHFIELD RD
LUKE AIR FORCE BASE AZ
85309-1529
US

IV. Provider business mailing address

3916 E COVEY LN
PHOENIX AZ
85050-4992
US

V. Phone/Fax

Practice location:
  • Phone: 623-856-6599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number010668
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: