Provider Demographics
NPI:1477269314
Name:DUKES, KAYA CATERINA
Entity Type:Individual
Prefix:
First Name:KAYA
Middle Name:CATERINA
Last Name:DUKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 STILL RD
Mailing Address - Street 2:
Mailing Address - City:PIERSON
Mailing Address - State:FL
Mailing Address - Zip Code:32180-2676
Mailing Address - Country:US
Mailing Address - Phone:386-405-7784
Mailing Address - Fax:
Practice Address - Street 1:680 STILL RD
Practice Address - Street 2:
Practice Address - City:PIERSON
Practice Address - State:FL
Practice Address - Zip Code:32180-2676
Practice Address - Country:US
Practice Address - Phone:386-405-7784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program