Provider Demographics
NPI:1861403164
Name:KAY, DANA F (NP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:F
Last Name:KAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10984
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29731-0984
Mailing Address - Country:US
Mailing Address - Phone:803-372-5884
Mailing Address - Fax:803-372-5890
Practice Address - Street 1:500 LAKESHORE PKWY
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-4273
Practice Address - Country:US
Practice Address - Phone:803-818-6900
Practice Address - Fax:803-372-5890
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3001363LA2100X, 363L00000X
NC5005009363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1861403164Medicaid
SCNP1013Medicaid
SCP00377919OtherRAILROAD MEDICARE ID
NCNC5335BMedicare PIN
Q72607Medicare UPIN
SCNP1013Medicaid