Provider Demographics
NPI:1073586335
Name:KAY, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:KAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2024 DORCHESTER CT
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-6534
Mailing Address - Country:US
Mailing Address - Phone:574-537-1626
Mailing Address - Fax:574-364-2939
Practice Address - Street 1:2024 DORCHESTER CT
Practice Address - Street 2:SUITE 2
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-6534
Practice Address - Country:US
Practice Address - Phone:574-537-1626
Practice Address - Fax:574-364-2939
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01039597A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100400000Medicaid
F57031Medicare UPIN
IN184520GMedicare ID - Type Unspecified