Provider Demographics
NPI:1992994297
Name:KAYE T.SYKES MD A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:KAYE T.SYKES MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREDIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:T
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-663-3100
Mailing Address - Street 1:9330 STOCKDALE HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311
Mailing Address - Country:US
Mailing Address - Phone:661-663-3100
Mailing Address - Fax:661-663-3107
Practice Address - Street 1:9330 STOCKDALE HWY
Practice Address - Street 2:SUITE 600
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311
Practice Address - Country:US
Practice Address - Phone:661-663-3100
Practice Address - Fax:661-663-3107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC431632080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty