Provider Demographics
NPI:1003124306
Name:KAY, DOUGLASS ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLASS
Middle Name:ALLAN
Last Name:KAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 OAK KNOLL TER
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7807
Mailing Address - Country:US
Mailing Address - Phone:301-279-0772
Mailing Address - Fax:301-279-0470
Practice Address - Street 1:707 OAK KNOLL TER
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7807
Practice Address - Country:US
Practice Address - Phone:301-279-0772
Practice Address - Fax:301-279-0470
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00263032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry