Healthcare Provider Details

I. General information

NPI: 1043426323
Provider Name (Legal Business Name): PAUL EVAN KAYS L.M.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 W SINTO AVE ANNEX
SPOKANE WA
99201-2428
US

IV. Provider business mailing address

3804 W WELLESLEY AVE
SPOKANE WA
99205-1872
US

V. Phone/Fax

Practice location:
  • Phone: 509-981-2625
  • Fax:
Mailing address:
  • Phone: 509-981-2625
  • Fax: 509-891-1506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA00018473
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: