Provider Demographics
NPI:1558340810
Name:KAY MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:KAY MEDICAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-271-4717
Mailing Address - Street 1:10300 SUNSET DR
Mailing Address - Street 2:STE 275G
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-271-4717
Mailing Address - Fax:305-271-4710
Practice Address - Street 1:10300 SUNSET DR
Practice Address - Street 2:STE 275G
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-271-4717
Practice Address - Fax:305-271-4710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312678332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5499360001Medicare ID - Type Unspecified