Provider Demographics
NPI:1437939956
Name:HAMLER, KAYLA CHEYENNE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:CHEYENNE
Last Name:HAMLER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:301 LIPPINCOTT DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-206-4786
Mailing Address - Fax:856-206-4789
Practice Address - Street 1:401 YOUNG AVE
Practice Address - Street 2:SUITE 275A
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-206-4786
Practice Address - Fax:856-206-4789
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2024-04-04
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00810800363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant