Kay, Samantha Mary

Kay, Samantha Mary is an individual health care provider with primary practice located at 1633 N Capitol Ave , Indianapolis IN 46202-1261. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Kay, Samantha Mary can be contacted via phone (317) 963-0600.

Contact Information

Primary practice address
1633 N Capitol Ave Indianapolis IN 46202-1261
Phone: (317) 963-0600
Fax: (317) 963-0615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01087842A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11020152A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 01087842A Indiana

Profile Details

NPI number 1457846305
LBN Legal business name Kay, Samantha Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2018
Last updated Jul 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457846305 NPPES
Indiana Other 264430E46 MEDICARE PTAN
Indiana MEDICAID 300015322 MEDICARE PTAN

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