Edward Vincent Kay

Individual provider Active NPI Independent Duty Corpsman · Kings Bay, GA

NPI 1477521458 · NPPES record last updated Mar 6, 2008

Key facts

NPI
1477521458
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
881 Uss James Madison Rd
Kings Bay, GA 31547-2531
Phone
(912) 573-4230
Fax
(912) 573-3761
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

881 Uss James Madison Rd
Kings Bay, GA 31547-2531

Mailing address

125A Ashaway Rd
Westerly, RI 02891-1440
Phone (401) 225-2712

Other providers in Kings Bay, GA

All providers in Kings Bay, GA · Independent Duty Corpsman in Georgia

Sources for this page

Verify at the official NPI Registry.