Provider Demographics
NPI:1710032339
Name:KAY CHIROPRACTIC SERVICES P C
Entity Type:Organization
Organization Name:KAY CHIROPRACTIC SERVICES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-890-0266
Mailing Address - Street 1:6945 HIGHWAY 72 W
Mailing Address - Street 2:SUITE D
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806
Mailing Address - Country:US
Mailing Address - Phone:256-890-0266
Mailing Address - Fax:256-890-0268
Practice Address - Street 1:6945 HIGHWAY 72 W
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806
Practice Address - Country:US
Practice Address - Phone:256-890-0266
Practice Address - Fax:256-890-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51004679OtherBCBS
AL51004681OtherBCBS
AL=========Medicare ID - Type UnspecifiedMEDICARE
AL51004679OtherBCBS