Provider Demographics
NPI:1467679696
Name:KAY, ROBERT JON (DC,ND)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JON
Last Name:KAY
Suffix:
Gender:M
Credentials:DC,ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CHARLES ST
Mailing Address - Street 2:SUITE 3-E
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2267
Mailing Address - Country:US
Mailing Address - Phone:717-633-1000
Mailing Address - Fax:
Practice Address - Street 1:25 CHARLES ST
Practice Address - Street 2:SUITE 3-E
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2267
Practice Address - Country:US
Practice Address - Phone:717-633-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004820-L111N00000X
VA0104001588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor