Healthcare Provider Details

I. General information

NPI: 1568433621
Provider Name (Legal Business Name): THOMAS R KAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E EVESHAM RD SUITE A
VOORHEES NJ
08043-9590
US

IV. Provider business mailing address

PO BOX 536
VOORHEES NJ
08043-0536
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-3323
  • Fax: 856-424-4994
Mailing address:
  • Phone: 856-669-6050
  • Fax: 856-651-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA024950
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: