Provider Demographics
NPI:1477677748
Name:RICHARD A. KAYE, D.O.
Entity Type:Organization
Organization Name:RICHARD A. KAYE, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-925-1433
Mailing Address - Street 1:2790 GODWIN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8151
Mailing Address - Country:US
Mailing Address - Phone:757-925-1433
Mailing Address - Fax:757-925-4567
Practice Address - Street 1:2790 GODWIN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8151
Practice Address - Country:US
Practice Address - Phone:757-925-1433
Practice Address - Fax:757-925-4567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01020371422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF27908Medicare UPIN