Individual
STEPHEN G KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1500 LINE AVE, SUITE 200, SHREVEPORT, LA 71101-4639
(318) 629-5555
(318) 629-5556
Mailing address
1500 LINE AVE, SUITE 204, SHREVEPORT, LA 71101-4639
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.A10443
LA
363L00000X
Nurse Practitioner
Primary
A10443
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00433991
RAILROAD MEDICARE
LA
Enumeration date
02/27/2007
Last updated
05/28/2009
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