1780293043 NPI number — ALYN KRISTIN KAY PH.D.

Table of content: ALYN KRISTIN KAY PH.D. (NPI 1780293043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780293043 NPI number — ALYN KRISTIN KAY PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAY
Provider First Name:
ALYN
Provider Middle Name:
KRISTIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ABBS
Provider Other First Name:
ALYN
Provider Other Middle Name:
KRISTIN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780293043
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/23/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HOPE NETWORK-HOPE'S DOOR CRU
Provider Second Line Business Mailing Address:
3699 MILES RD.
Provider Business Mailing Address City Name:
JACKSON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOPE NETWORK-HOPE'S DOOR CRU
Provider Second Line Business Practice Location Address:
3699 MILES RD.
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-319-1981
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)