Provider Demographics
NPI:1255852075
Name:CORDELL, KAYLA MICHELLE (AA)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:MICHELLE
Last Name:CORDELL
Suffix:
Gender:F
Credentials:AA
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Mailing Address - Street 1:5395 TRENTHAM DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3050
Mailing Address - Country:US
Mailing Address - Phone:404-944-0438
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2212
Practice Address - Country:US
Practice Address - Phone:404-686-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-01
Last Update Date:2018-03-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant