Provider Demographics
NPI:1366729543
Name:KAYE, JOSEPH A (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:A
Last Name:KAYE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W156N11261 PILGRIM RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-3420
Mailing Address - Country:US
Mailing Address - Phone:262-253-9720
Mailing Address - Fax:262-253-1734
Practice Address - Street 1:W156N11261 PILGRIM RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-3420
Practice Address - Country:US
Practice Address - Phone:262-253-9720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9888-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist