Provider Demographics
NPI:1326228313
Name:ROBERT F MCCAY D.C. PSC
Entity Type:Organization
Organization Name:ROBERT F MCCAY D.C. PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-821-2321
Mailing Address - Street 1:920 SOUTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431
Mailing Address - Country:US
Mailing Address - Phone:270-821-2321
Mailing Address - Fax:270-825-1938
Practice Address - Street 1:920 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-3063
Practice Address - Country:US
Practice Address - Phone:270-821-2321
Practice Address - Fax:270-825-1938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1104942614OtherINDIVIDUAL NPI