Provider Demographics
NPI:1780293043
Name:KAY, ALYN KRISTIN (PHD)
Entity type:Individual
Prefix:
First Name:ALYN
Middle Name:KRISTIN
Last Name:KAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALYN
Other - Middle Name:KRISTIN
Other - Last Name:ABBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:HOPE NETWORK-HOPE'S DOOR CRU
Mailing Address - Street 2:3699 MILES RD.
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HOPE NETWORK-HOPE'S DOOR CRU
Practice Address - Street 2:3699 MILES RD.
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201
Practice Address - Country:US
Practice Address - Phone:269-319-1981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant