Provider Demographics
NPI:1073400594
Name:KAYLAS COMMUNITY CONNECTIONS
Entity type:Organization
Organization Name:KAYLAS COMMUNITY CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-666-0669
Mailing Address - Street 1:335 W 11TH AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-1613
Mailing Address - Country:US
Mailing Address - Phone:541-666-0669
Mailing Address - Fax:
Practice Address - Street 1:335 W 11TH AVE APT 106
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1613
Practice Address - Country:US
Practice Address - Phone:541-666-0669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable