Healthcare Provider Details

I. General information

NPI: 1811331846
Provider Name (Legal Business Name): JEFFREY T KAY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2013
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S 3RD ST
MONTROSE CO
81401-4212
US

IV. Provider business mailing address

PO BOX 2085
MONTROSE CO
81402-2085
US

V. Phone/Fax

Practice location:
  • Phone: 970-240-7229
  • Fax: 970-249-8421
Mailing address:
  • Phone: 970-765-0811
  • Fax: 970-497-8410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberDR.0065469
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number1259
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number1259
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: