Provider Demographics
NPI:1679871347
Name:KAYNE, MONICA (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:KAYNE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:ANN GISELLE
Other - Last Name:KAYNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:PO BOX 15294
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28813-0294
Mailing Address - Country:US
Mailing Address - Phone:828-698-3489
Mailing Address - Fax:828-698-3490
Practice Address - Street 1:828 FLEMING ST
Practice Address - Street 2:SUITE A
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3540
Practice Address - Country:US
Practice Address - Phone:828-698-3489
Practice Address - Fax:828-698-3490
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7664225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ38168AMedicare PIN