Provider Demographics
NPI:1013969575
Name:KAY, WALTER J (DO)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:J
Last Name:KAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:955 E MARTIN LUTHER KING JR DR STE E
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4803
Mailing Address - Country:US
Mailing Address - Phone:727-796-2444
Mailing Address - Fax:727-796-7653
Practice Address - Street 1:955 E MARTIN LUTHER KING JR DR STE E
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4803
Practice Address - Country:US
Practice Address - Phone:727-796-2444
Practice Address - Fax:727-796-7653
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22234600Medicaid
FL045281500Medicaid
FLD60608Medicare UPIN