Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 29738 | AZ |
NPI | 1558365940 |
---|---|
Provider Name | Dr. Robert Allen Kaye |
First Address | Yuma, AZ 85364-6370 |
Second Address | Yuma, AZ 85364-6370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 29/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
596653 | (05) | AZ |
CO4204 | (02) |