Jay, Kieran M

Jay, Kieran M is an individual health care provider with primary practice located at 611 E Star Ct A , Montrose CO 81401-6701. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jay, Kieran M can be contacted via phone (970) 249-4321.

Contact Information

Primary practice address
611 E Star Ct A Montrose CO 81401-6701
Phone: (970) 249-4321
Fax: (970) 249-2339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31910 Colorado

Profile Details

NPI number 1265480131
LBN Legal business name Jay, Kieran M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 7th, 2008 - about 18 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 1265480131 NPPES
Colorado Other 31910 LICENCE
Colorado Other P00324337 LICENCE
Colorado MEDICAID 01319102 LICENCE

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