Provider Demographics
NPI:1730100322
Name:KIRAY, JOSEPH D III (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:KIRAY
Suffix:III
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 1:500 NORTH UNION STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-1950
Mailing Address - Country:US
Mailing Address - Phone:717-944-2225
Mailing Address - Fax:179-440-9327
Practice Address - Street 1:500 NORTH UNION STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-1950
Practice Address - Country:US
Practice Address - Phone:717-944-2225
Practice Address - Fax:179-440-9327
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1869084OtherHIGHMARK