Provider Demographics
NPI:1316357494
Name:EHRMAN, KAYLA LEIGH (DO)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:LEIGH
Last Name:EHRMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2535 MAPLECREST RD STE 16
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-2799
Mailing Address - Country:US
Mailing Address - Phone:563-421-5250
Mailing Address - Fax:563-421-4049
Practice Address - Street 1:2535 MAPLECREST RD STE 16
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:563-421-5250
Practice Address - Fax:563-421-4049
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IADO-05222207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine