Provider Demographics
NPI:1043765563
Name:STURM, KAYLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:STURM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 E CARO RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1216
Mailing Address - Country:US
Mailing Address - Phone:989-673-7922
Mailing Address - Fax:989-673-7916
Practice Address - Street 1:1121 E CARO RD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1216
Practice Address - Country:US
Practice Address - Phone:989-673-7922
Practice Address - Fax:989-673-7916
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302044160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist