Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036143382 | IL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 076098 | GA |
NPI | 1023317450 |
---|---|
Provider Name | Seth Kay |
First Address | Winfield, IL 60190-1295 |
Second Address | Winfield, IL 60190-1222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
206147 | MEDICARE GROUP (01) | IL |
F400393006 | MEDICARE INDIVIDUAL (01) | IL |