Provider Demographics
NPI:1033161823
Name:DURST, KAY H (MD)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:H
Last Name:DURST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:306 STATION 22 1/2 ST
Practice Address - Street 2:
Practice Address - City:SULLIVANS IS
Practice Address - State:SC
Practice Address - Zip Code:29482-9756
Practice Address - Country:US
Practice Address - Phone:843-883-3176
Practice Address - Fax:843-883-3459
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME79121207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine