Provider Demographics
NPI:1760538870
Name:KAY, PETER P (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:P
Last Name:KAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2355 N WYATT DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2120
Mailing Address - Country:US
Mailing Address - Phone:520-323-7100
Mailing Address - Fax:520-323-2228
Practice Address - Street 1:2355 N WYATT DR
Practice Address - Street 2:SUITE 111
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2120
Practice Address - Country:US
Practice Address - Phone:520-323-7100
Practice Address - Fax:520-323-2228
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ17310208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC17742Medicare UPIN
AZMD17310Medicare ID - Type Unspecified