Provider Demographics
NPI:1477853612
Name:WIRFEL, KAYLA L (PA-C)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:L
Last Name:WIRFEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:L
Other - Last Name:SEDOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1086 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4305
Mailing Address - Country:US
Mailing Address - Phone:814-534-9132
Mailing Address - Fax:814-534-3494
Practice Address - Street 1:1020 FRANKLIN ST
Practice Address - Street 2:CONEMAUGH CANCER CARE CENTER
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4109
Practice Address - Country:US
Practice Address - Phone:814-534-9132
Practice Address - Fax:814-534-3494
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical