Provider Demographics
NPI:1396577102
Name:RICE, KAYLEEN FAY (DC)
Entity type:Individual
Prefix:DR
First Name:KAYLEEN
Middle Name:FAY
Last Name:RICE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 HOLBROOK LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3930
Mailing Address - Country:US
Mailing Address - Phone:206-992-2230
Mailing Address - Fax:
Practice Address - Street 1:14800 PHYSICIANS LN STE 231
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3948
Practice Address - Country:US
Practice Address - Phone:301-241-9711
Practice Address - Fax:301-762-6646
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS04222111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor