Provider Demographics
NPI:1376106013
Name:KURDYLA, KAYLA (DC)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:KURDYLA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 HAYESBURY LN
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-2720
Mailing Address - Country:US
Mailing Address - Phone:810-423-1899
Mailing Address - Fax:
Practice Address - Street 1:102 BOWLING LN
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-4353
Practice Address - Country:US
Practice Address - Phone:205-988-9848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor