1841328838 NPI number — MS. KAY HADLEY

Table of content: LEO ENRIQUE LARIOS DO (NPI 1154907517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841328838 NPI number — MS. KAY HADLEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HADLEY
Provider First Name:
KAY
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STAFFORD
Provider Other First Name:
KAY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841328838
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CMR 475 UNIT 27528
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
GERMANY
Provider Business Mailing Address Postal Code:
AE
Provider Business Mailing Address Country Code:
DE
Provider Business Mailing Address Telephone Number:
0931
Provider Business Mailing Address Fax Number:
3898

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
USA HC BAMBERG
Provider Second Line Business Practice Location Address:
UNIT 27528
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09139
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
931
Provider Business Practice Location Address Fax Number:
3898
Provider Enumeration Date:
03/01/2007

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: 163WA2000X , with the licence number:  663023 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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