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General NPI Number Information
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NPI Number | 1447576905
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Entity Type | Individual
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Provider Name | JEFFREY KAYE M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 985 FARMINGTON AVE
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City | BRISTOL
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State | CT
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Zip | 06010-3973
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Country | US
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Telephone | 860-584-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 11 FERRY LN
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City | SIMSBURY
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State | CT
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Zip | 06070-1802
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Country | US
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Telephone | 860-584-1320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 261856
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 051446
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License Number State | CT
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