Provider Demographics
NPI:1255621603
Name:KAIDBEY, KAYS (MD)
Entity type:Individual
Prefix:
First Name:KAYS
Middle Name:
Last Name:KAIDBEY
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 1:241 S 6TH ST
Mailing Address - Street 2:APT. NUMBER2111
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3727
Mailing Address - Country:US
Mailing Address - Phone:215-238-1225
Mailing Address - Fax:
Practice Address - Street 1:241 S 6TH ST
Practice Address - Street 2:APT. NUMBER2111
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3727
Practice Address - Country:US
Practice Address - Phone:215-238-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036673L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology