Provider Demographics
NPI:1033442736
Name:SHEETS, KAYLA MANDEL (MS)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:MANDEL
Last Name:SHEETS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 S 1200 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-2653
Mailing Address - Country:US
Mailing Address - Phone:801-833-2868
Mailing Address - Fax:
Practice Address - Street 1:1031 IVES DAIRY RD
Practice Address - Street 2:SUITE 228
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-2538
Practice Address - Country:US
Practice Address - Phone:800-245-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-12
Last Update Date:2009-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS