Provider Demographics
NPI:1508294760
Name:KAY, DENNIS LOREN (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LOREN
Last Name:KAY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CARMI
Mailing Address - State:IL
Mailing Address - Zip Code:62821-1340
Mailing Address - Country:US
Mailing Address - Phone:618-382-4834
Mailing Address - Fax:
Practice Address - Street 1:908 OAK ST
Practice Address - Street 2:
Practice Address - City:CARMI
Practice Address - State:IL
Practice Address - Zip Code:62821-1340
Practice Address - Country:US
Practice Address - Phone:618-382-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-28
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor