Basic Information
Provider Information
NPI: 1982696084
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAYS
FirstName: MARGARET
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: PNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 JOHN ST
Address2: SUITE 12
City: EVANSVILLE
State: IN
PostalCode: 477132705
CountryCode: US
TelephoneNumber: 8124217489
FaxNumber: 8124217494
Practice Location
Address1: 501 JOHN ST
Address2: SUITE 12
City: EVANSVILLE
State: IN
PostalCode: 477132705
CountryCode: US
TelephoneNumber: 8124217489
FaxNumber: 8124217494
Other Information
ProviderEnumerationDate: 08/16/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X71000130AINY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


Home