=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396151437
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAYCE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2014
-----------------------------------------------------
Last Update Date | 10/01/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 801 WAYNE AVE
-----------------------------------------------------
City | CHAMBERSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17201-3801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 172-648-1497
-----------------------------------------------------
Fax | 717-264-8159
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 801 WAYNE AVE
-----------------------------------------------------
City | CHAMBERSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17201-3801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-264-8149
-----------------------------------------------------
Fax | 717-264-8159
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JOSEPH BRADY JR.
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 717-217-9471
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC008956
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------