Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | H104281 | IA |
N | 363LG0600X | Nurse Practitioner - Gerontology | H104281 | IA |
NPI | 1992981757 |
---|---|
Provider Name | Kimberly Cay |
First Address | Columbia, MD 21044-2655 |
Second Address | Columbia, MD 21044-2655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2008 |
Last Update Date | 23/06/2020 |