Healthcare Provider Details

I. General information

NPI: 1720057102
Provider Name (Legal Business Name): DAVID BRIAN KAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 02/03/2022
Certification Date: 08/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 N COLLEGE ST
HAMILTON GA
31811-6031
US

IV. Provider business mailing address

250 MARTIN LUTHER KING JR BLVD
MACON GA
31201-3490
US

V. Phone/Fax

Practice location:
  • Phone: 762-267-0309
  • Fax:
Mailing address:
  • Phone: 478-301-2362
  • Fax: 478-301-2272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number047780
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number47780
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: