Provider Demographics
NPI:1720173685
Name:KAY, MATTHEW D (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:D
Last Name:KAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 STATE ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-7610
Mailing Address - Country:US
Mailing Address - Phone:330-673-6299
Mailing Address - Fax:330-673-6399
Practice Address - Street 1:2007 STATE ROUTE 59
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-7610
Practice Address - Country:US
Practice Address - Phone:330-673-6299
Practice Address - Fax:330-673-6399
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.055528207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0826128Medicaid
OH0826128Medicaid
E87010Medicare UPIN
OHKA4047329Medicare PIN