Individual provider · NPI-1

A Keith Lay Jr., MD

Family Medicine · Bay Springs, MS

NPI number1144338369
StatusActive
Last updated in NPPESDec 18, 2013

Details

NPI
1144338369
Entity type
Individual (NPI-1)
Name
A Keith Lay Jr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2006
Last updated
Dec 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine9629MSYes

Practice location

27 S Sixth St
Bay Springs, MS 39422-9052

Phone 604-764-2143

Mailing address

Po Box 549
Bay Springs, MS 39422

Phone 601-764-2143 · Fax 601-764-4890

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