Provider Demographics
NPI:1356372684
Name:KAY, TIFFANY W
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:W
Last Name:KAY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:H
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC LLC
Mailing Address - Street 1:1505 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4734
Mailing Address - Country:US
Mailing Address - Phone:864-226-1499
Mailing Address - Fax:864-225-3174
Practice Address - Street 1:1505 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4734
Practice Address - Country:US
Practice Address - Phone:864-226-1499
Practice Address - Fax:864-225-3174
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2774111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCU94003Medicare UPIN