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NPI Code Detail

MEDICARE: KIRSTEN RUTH KAY MD

MEDICARE: KIRSTEN RUTH 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
1208000000XPediatrics Physician35081473OH
22080P0204XPediatric Emergency Medicine (Pediatrics) Physician35081473OH

Other Identifiers

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

General Provider Information

NPI Number : 1720073240
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN RUTH KAY MD
Provider Business Mailing Address
First Line : 721 MIAMI CHAPEL RD
Second Line :
City : DAYTON
State : OH
Zip : 45417-4650
Country : US
Telephone Number : 937-281-6800
Fax Number : 937-281-6800
Provider Business Practice Location Address
First Line : 721 MIAMI CHAPEL RD
Second Line :
City : DAYTON
State : OH
Zip : 45417-4650
Country : US
Telephone Number : 937-281-6800
Fax Number : 937-965-4595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 03/29/2024

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