Provider Demographics
NPI:1497766943
Name:SYKES, KAYE (MD)
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:
Last Name:SYKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 LENNOX AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1662
Mailing Address - Country:US
Mailing Address - Phone:661-246-4275
Mailing Address - Fax:661-326-1514
Practice Address - Street 1:5300 LENNOX AVE STE 102
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1662
Practice Address - Country:US
Practice Address - Phone:661-246-4275
Practice Address - Fax:661-326-1514
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC0431632080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD54951Medicare UPIN