Healthcare Provider Details

I. General information

NPI: 1982063442
Provider Name (Legal Business Name): CHRISTOPHER KYE MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 02/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NW 17TH AVE SUITE 201
DELRAY BEACH FL
33445
US

IV. Provider business mailing address

900 NW 17TH AVE SUITE 201
DELRAY BEACH FL
33445
US

V. Phone/Fax

Practice location:
  • Phone: 561-501-5761
  • Fax: 561-501-5720
Mailing address:
  • Phone: 561-501-5761
  • Fax: 561-501-5720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME0075967
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME0075967
License Number StateFL

VIII. Authorized Official

Name: CHRISTOPHER KYE
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 561-501-5761