Provider Demographics
NPI:1881898419
Name:KAY, CHRISTINE NICHOLS (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:NICHOLS
Last Name:KAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4340 W NEWBERRY RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2257
Mailing Address - Country:US
Mailing Address - Phone:352-371-2800
Mailing Address - Fax:352-378-7009
Practice Address - Street 1:4340 W NEWBERRY RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2257
Practice Address - Country:US
Practice Address - Phone:352-371-2800
Practice Address - Fax:352-378-7009
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN10029207W00000X
IA38258207W00000X
FLME99947207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003346500Medicaid
FLFE615ZMedicare PIN
FLFE615ZMedicare PIN
IAI0923230Medicare PIN