Provider Demographics
NPI:1063482198
Name:KAY, CHARLES H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:KAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6179 S BALSAM WAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3091
Mailing Address - Country:US
Mailing Address - Phone:303-948-1570
Mailing Address - Fax:303-972-6871
Practice Address - Street 1:6179 S BALSAM WAY
Practice Address - Street 2:SUITE 110
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3091
Practice Address - Country:US
Practice Address - Phone:303-948-1570
Practice Address - Fax:303-972-6871
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-03-31
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Provider Licenses
StateLicense IDTaxonomies
CO30530207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01305309Medicaid
CO01305309Medicaid
COE94466Medicare UPIN