Provider Demographics
NPI:1760665434
Name:KAYE, BRIAN ALAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ALAN
Last Name:KAYE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32259 SCENIC LN
Mailing Address - Street 2:FRANKLIN
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-1702
Mailing Address - Country:US
Mailing Address - Phone:248-568-8455
Mailing Address - Fax:
Practice Address - Street 1:32259 SCENIC LN
Practice Address - Street 2:FRANKLIN
Practice Address - City:FRANKLIN
Practice Address - State:MI
Practice Address - Zip Code:48025-1702
Practice Address - Country:US
Practice Address - Phone:248-568-8455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901001146213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery