Provider Demographics
NPI:1477178143
Name:PLISKA, KAYLA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:LYNN
Last Name:PLISKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-7308
Mailing Address - Country:US
Mailing Address - Phone:541-225-7806
Mailing Address - Fax:
Practice Address - Street 1:2610 UHRMANN RD
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-1123
Practice Address - Country:US
Practice Address - Phone:541-274-4833
Practice Address - Fax:541-274-4805
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0016849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist