Provider Demographics
NPI:1992892913
Name:KAY, KEVIN KEITH (DDS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:KEITH
Last Name:KAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 NE SUNSET BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059
Mailing Address - Country:US
Mailing Address - Phone:425-226-2615
Mailing Address - Fax:425-226-5126
Practice Address - Street 1:4444 NE SUNSET BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059
Practice Address - Country:US
Practice Address - Phone:425-226-2615
Practice Address - Fax:425-226-5126
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6289122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist