Provider Demographics
NPI:1295175578
Name:KAY FAMILY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:KAY FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-640-7948
Mailing Address - Street 1:710 PACHA PKWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-4821
Mailing Address - Country:US
Mailing Address - Phone:319-626-3500
Mailing Address - Fax:
Practice Address - Street 1:710 PACHA PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-4821
Practice Address - Country:US
Practice Address - Phone:319-626-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty