Provider Demographics
NPI:1013988062
Name:KAY, RICHARD ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLAN
Last Name:KAY
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 1:7284 MOHANSIC DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3550
Mailing Address - Country:US
Mailing Address - Phone:248-539-9646
Mailing Address - Fax:
Practice Address - Street 1:30827 HOOVER RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-6539
Practice Address - Country:US
Practice Address - Phone:586-751-8984
Practice Address - Fax:586-751-5221
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-29
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004688111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIT33182Medicare UPIN
MIOEO5167Medicare ID - Type Unspecified