Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2021013355 | MO |
Y | 2086S0105X | Surgery of the Hand | 2021013355 | MO |
NPI | 1164883096 |
---|---|
Provider Name | Dr. Harrison Ford Kay |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2016 |
Last Update Date | 15/11/2021 |