Provider Demographics
NPI:1871805176
Name:PRYCE, KASEY (DOM)
Entity type:Individual
Prefix:DR
First Name:KASEY
Middle Name:
Last Name:PRYCE
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2383 FLAMINGO DR
Mailing Address - Street 2:APT. 5
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4802
Mailing Address - Country:US
Mailing Address - Phone:305-764-4722
Mailing Address - Fax:
Practice Address - Street 1:300 W 41ST ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3637
Practice Address - Country:US
Practice Address - Phone:305-764-4722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2510171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist