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General NPI Number Information
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NPI Number | 1235656992
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Entity Type | Organization
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Legal Business Name | KAY PRIMARY CARE INC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 955 E MARTIN LUTHER KING JR DR STE E
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-4803
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Country | US
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Telephone | 727-796-2444
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Fax | 727-796-7653
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Provider Business Mailing Address
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Address Line | 955 E MARTIN LUTHER KING JR DR STE E
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-4803
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Country | US
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Telephone | 727-796-2444
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Fax | 727-796-7653
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | WALTER KAY
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Credential | DO
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Telephone | 727-796-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS3862
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License Number State | FL
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