Provider Demographics
NPI:1578880662
Name:J. KAYE HALSEY, M.D., PC
Entity Type:Organization
Organization Name:J. KAYE HALSEY, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M,D,
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:HALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-971-7991
Mailing Address - Street 1:908 E JEFFERSON ST
Mailing Address - Street 2:SUITE G1
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5375
Mailing Address - Country:US
Mailing Address - Phone:434-971-7991
Mailing Address - Fax:434-296-2506
Practice Address - Street 1:908 E JEFFERSON ST
Practice Address - Street 2:SUITE G1
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5375
Practice Address - Country:US
Practice Address - Phone:434-971-7991
Practice Address - Fax:434-296-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032735174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty