Healthcare Provider Details

I. General information

NPI: 1730514373
Provider Name (Legal Business Name): KAY CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2013
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30827 HOOVER RD
WARREN MI
48093-6539
US

IV. Provider business mailing address

23346 SUNCREST ST
DEARBORN HEIGHTS MI
48127-2352
US

V. Phone/Fax

Practice location:
  • Phone: 586-751-8984
  • Fax: 586-751-5221
Mailing address:
  • Phone: 313-574-1191
  • Fax: 313-554-1565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008454
License Number StateMI

VIII. Authorized Official

Name: DR. RASHAD SALEH
Title or Position: OWNER
Credential: D.C.
Phone: 313-574-1191