Provider Demographics
NPI:1124555883
Name:MCKITRICK, KAYLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:MCKITRICK
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 1:8000 PARRAMORE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-5704
Mailing Address - Country:US
Mailing Address - Phone:904-479-7522
Mailing Address - Fax:
Practice Address - Street 1:8000 PARRAMORE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-5704
Practice Address - Country:US
Practice Address - Phone:904-479-7522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-12
Last Update Date:2021-03-09
Deactivation Date:2019-08-24
Deactivation Code:
Reactivation Date:2019-09-11
Provider Licenses
StateLicense IDTaxonomies
FLPS59828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist