Provider Demographics
NPI:1801109681
Name:KAY, JOEL VERNON (NP)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:VERNON
Last Name:KAY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 593075
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0203
Mailing Address - Country:US
Mailing Address - Phone:210-373-8570
Mailing Address - Fax:888-604-9219
Practice Address - Street 1:311 POWER ST
Practice Address - Street 2:
Practice Address - City:REFUGIO
Practice Address - State:TX
Practice Address - Zip Code:78377-2323
Practice Address - Country:US
Practice Address - Phone:830-393-3133
Practice Address - Fax:888-604-9219
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX678592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB109421Medicare PIN