Healthcare Provider Details

I. General information

NPI: 1255671483
Provider Name (Legal Business Name): HOWARD BERNARD KAY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FORUM WAY SUITE 800
WEST PALM BEACH FL
33401-2325
US

IV. Provider business mailing address

1401 FORUM WAY SUITE 800
WEST PALM BEACH FL
33401-2325
US

V. Phone/Fax

Practice location:
  • Phone: 561-682-0999
  • Fax:
Mailing address:
  • Phone: 561-682-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number4617
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: