Provider Demographics
NPI:1497866230
Name:KAYS, NANCY L (MSS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:KAYS
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08559
Mailing Address - Country:US
Mailing Address - Phone:609-397-8511
Mailing Address - Fax:215-752-5243
Practice Address - Street 1:930 TOWN CENTER DRIVE
Practice Address - Street 2:SUITE G40
Practice Address - City:LAUGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-757-1915
Practice Address - Fax:215-752-5243
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO133081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P57254Medicare UPIN
057204Medicare ID - Type Unspecified