Provider Demographics
NPI:1447227830
Name:LAY, KRISTOPHER FRANK (MD)
Entity Type:Individual
Prefix:MR
First Name:KRISTOPHER
Middle Name:FRANK
Last Name:LAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KRISTOPHER
Other - Middle Name:FRANK
Other - Last Name:LAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7191 CAHABA VALLEY RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-6402
Mailing Address - Country:US
Mailing Address - Phone:205-980-2091
Mailing Address - Fax:205-980-2196
Practice Address - Street 1:7191 CAHABA VALLEY RD
Practice Address - Street 2:SUITE 301
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6402
Practice Address - Country:US
Practice Address - Phone:205-980-2091
Practice Address - Fax:205-980-2196
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057882207YX0905X
AL25037207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00084134OtherRAILROAD MEDICARE
AL051517678OtherBLUE CROSS BLUE SHIELD
AL051517678OtherBLUE CROSS BLUE SHIELD
AL051517678Medicare ID - Type Unspecified