Provider Demographics
NPI:1104968601
Name:KAY, ROBERT MALCOLM V (BS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MALCOLM
Last Name:KAY
Suffix:V
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S PEORIA
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4429
Mailing Address - Country:US
Mailing Address - Phone:918-587-9471
Mailing Address - Fax:918-560-0137
Practice Address - Street 1:102 N DENVER
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74103-1820
Practice Address - Country:US
Practice Address - Phone:718-582-1200
Practice Address - Fax:918-581-0777
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator