Healthcare Provider Details

I. General information

NPI: 1427188317
Provider Name (Legal Business Name): SCOTT H. KAYE DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 BEACON ST SUITE 207
BROOKLINE MA
02445-1930
US

IV. Provider business mailing address

1842 BEACON ST SUITE 207
BROOKLINE MA
02445-1930
US

V. Phone/Fax

Practice location:
  • Phone: 617-734-1414
  • Fax: 617-734-0098
Mailing address:
  • Phone: 617-734-1414
  • Fax: 617-734-0098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1671
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1671
License Number StateMA

VIII. Authorized Official

Name: SCOTT H KAYE
Title or Position: PROPRIETOR
Credential: MD.DPM
Phone: 617-734-1414