Provider Demographics
NPI:1477521458
Name:KAY, EDWARD VINCENT
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:VINCENT
Last Name:KAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125A ASHAWAY RD
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-1440
Mailing Address - Country:US
Mailing Address - Phone:401-225-2712
Mailing Address - Fax:912-573-4230
Practice Address - Street 1:881 USS JAMES MADISON RD
Practice Address - Street 2:
Practice Address - City:KINGS BAY
Practice Address - State:GA
Practice Address - Zip Code:31547-2531
Practice Address - Country:US
Practice Address - Phone:912-573-4230
Practice Address - Fax:912-573-3761
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman