Provider Demographics
NPI:1326809849
Name:WALKER, KAYLA ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:ELIZABETH
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:KAYLA
Other - Middle Name:ELIZABETH
Other - Last Name:PETTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 COUNTY ROAD 523
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-7419
Mailing Address - Country:US
Mailing Address - Phone:706-851-7831
Mailing Address - Fax:
Practice Address - Street 1:305 GRADY RD STE B
Practice Address - Street 2:
Practice Address - City:ETOWAH
Practice Address - State:TN
Practice Address - Zip Code:37331-1911
Practice Address - Country:US
Practice Address - Phone:423-263-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant