Provider Demographics
NPI:1801443791
Name:KAYE, AIDAN (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:AIDAN
Middle Name:
Last Name:KAYE
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 SCOTTS LN STE 215
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1836
Mailing Address - Country:US
Mailing Address - Phone:856-946-7702
Mailing Address - Fax:
Practice Address - Street 1:3500 SCOTTS LN STE 215
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1836
Practice Address - Country:US
Practice Address - Phone:609-214-5615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-25
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000304171100000X
NJ38MC00764300111N00000X
PADC011656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty