Provider Demographics
NPI:1942411525
Name:KAYE, BARRY L (DC)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:L
Last Name:KAYE
Suffix:
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 1:8222 MELROSE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6825
Mailing Address - Country:US
Mailing Address - Phone:323-653-4826
Mailing Address - Fax:323-653-0216
Practice Address - Street 1:8222 MELROSE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-6825
Practice Address - Country:US
Practice Address - Phone:323-653-4826
Practice Address - Fax:323-653-0216
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 17298111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC17298Medicare PIN