Provider Demographics
NPI:1043280761
Name:KAYES, JULIE DAVIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:DAVIS
Last Name:KAYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29325 HEALTH CAMPUS DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8201
Mailing Address - Country:US
Mailing Address - Phone:440-414-9400
Mailing Address - Fax:216-201-5591
Practice Address - Street 1:29325 HEALTH CAMPUS DR STE 3
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-8201
Practice Address - Country:US
Practice Address - Phone:440-414-9400
Practice Address - Fax:216-201-5591
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081896207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00065926OtherRAILROAD MEDICARE
OH000000290498OtherANTHEM
OH27030OtherSUMMA
OH2422828Medicaid
OH2422828Medicaid
OH000000290498OtherANTHEM