Organization
KAY & TABAS OPHTHALMOLOGY
Active
Other names
KT Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L KAY MD (OWNER PRESIDENT)
(215) 925-6402
Entity
Organization
Contact information
Practice address
601 WALNUT ST, SUITE L30, PHILA, PA 19106
(215) 925-6402
(215) 925-0262
Mailing address
601 WALNUT ST, SUITE L30, PHILA, PA 19106
(215) 925-6402
(215) 925-0262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD012768E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014921990004
—
PA
Enumeration date
10/05/2006
Last updated
11/16/2010
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