Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301093277 | MI |
N | 111NI0900X | Internist | 4301093277 | MI |
N | 207RI0200X | Infectious Disease | 2000-01179 | NC |
Y | 207RI0200X | Infectious Disease | 4301093277 | MI |
NPI | 1083777858 |
---|---|
Provider Name | Keith Steven Kaye |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 06/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89127E5 | (05) | NC |
H22777 | (02) |