NPI Code Details Logo

NPI 1396577102

NPI 1396577102 : KAYLEEN FAY RICE DC : ROCKVILLE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396577102
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAYLEEN FAY RICE DC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/19/2024
-----------------------------------------------------
    Last Update Date     |    08/19/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14800 PHYSICIANS LN STE 231 
-----------------------------------------------------
    City                 |    ROCKVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20850-3948
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-241-9711
-----------------------------------------------------
    Fax                  |    301-762-6646
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9440 HOLBROOK LN 
-----------------------------------------------------
    City                 |    POTOMAC
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20854-3930
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-992-2230
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    S04222
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.