Provider Demographics
NPI:1104801109
Name:KAIRYS, DANIEL B (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:KAIRYS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:39200 HOOKER HWY
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-5368
Mailing Address - Country:US
Mailing Address - Phone:561-992-9477
Mailing Address - Fax:561-996-4173
Practice Address - Street 1:50 UNION ST STE 2300
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605
Practice Address - Country:US
Practice Address - Phone:207-664-5642
Practice Address - Fax:207-664-5664
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2018-07-24
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Provider Licenses
StateLicense IDTaxonomies
FLME88565208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H68450Medicare UPIN