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NPI Code Detail

MEDICARE: KAY DERMATOLOGY INC

MEDICARE: KAY DERMATOLOGY INC
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
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1932621802
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAY DERMATOLOGY INC
Provider Business Mailing Address
First Line : 201 S BUENA VISTA ST STE 420
Second Line :
City : BURBANK
State : CA
Zip : 91505-4571
Country : US
Telephone Number : 818-238-2350
Fax Number : 818-238-2351
Provider Business Practice Location Address
First Line : 1411 N HOLLYWOOD WAY
Second Line :
City : BURBANK
State : CA
Zip : 91505-1826
Country : US
Telephone Number : 818-238-2350
Fax Number : 818-238-2351
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. MARTIN H KAY
Credential : MD
Telephone Number : 818-238-2350
Provider Enumeration Date : 07/12/2017
Last Update Date : 06/21/2024

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Directions to “KAY DERMATOLOGY INC ” Practice Location

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