MEDICARE: DR. DAVID I KAY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	43012054070	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699768002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID I KAY MD

Provider Business Mailing Address
First Line	:	1205 W OAK ST
Second Line	:
City	:	GREENVILLE
State	:	MI
Zip	:	48838-2154
Country	:	US
Telephone Number	:	616-754-9105
Fax Number	:	616-754-9106

Provider Business Practice Location Address
First Line	:	1205 W OAK ST
Second Line	:
City	:	GREENVILLE
State	:	MI
Zip	:	48838-2154
Country	:	US
Telephone Number	:	616-754-9105
Fax Number	:	616-754-9106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	11/18/2009

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