Healthcare Provider Details

I. General information

NPI: 1104285030
Provider Name (Legal Business Name): DAVID KAYS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2016
Last Update Date: 03/17/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 PINE MOUNTAIN RD STE 2
HUDSON NC
28638-2600
US

IV. Provider business mailing address

270 PINE MOUNTAIN RD STE 2
HUDSON NC
28638-2600
US

V. Phone/Fax

Practice location:
  • Phone: 828-757-6330
  • Fax: 828-757-6349
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2019-01288
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: