Individual
TARA KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1113 S STATE ST STE 100, DOVER, DE 19901-4112
(302) 734-7676
(302) 734-7615
Mailing address
39 DEBORAH DR, DOVER, DE 19901-6403
(302) 382-7835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005823
VA
363A00000X
Physician Assistant
Primary
C5-0001220
DE
Other
Enumeration date
08/20/2017
Last updated
10/05/2020
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