Individual
DR. BARRY L. KAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
8040 ROOSEVELT BOULEVARD, SUITE 217, PHILA, PA 19152-2902
(215) 268-0002
(866) 447-8680
Mailing address
8040 ROOSEVELT BOULEVARD, SUITE 217, PHILA, PA 19152-2902
(215) 268-0002
(866) 447-8680
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS001864
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001664389
KHPE
PA
01
—
0062922000
PERSONAL CHOICE
PA
01
—
072594
FED EMPLOYEE PROGRAM BCBS
PA
01
—
298412000
MAGELLAN
PA
01
—
5357116
AETNA
PA
Enumeration date
11/17/2006
Last updated
03/08/2010
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