Provider Demographics
NPI:1497935712
Name:HANLEY, KYLA (MS IN ACUPUNCTURE)
Entity Type:Individual
Prefix:MS
First Name:KYLA
Middle Name:
Last Name:HANLEY
Suffix:
Gender:F
Credentials:MS IN ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 3RD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3812
Mailing Address - Country:US
Mailing Address - Phone:201-362-9522
Mailing Address - Fax:
Practice Address - Street 1:702 CLINTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2805
Practice Address - Country:US
Practice Address - Phone:201-362-9522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00051800171100000X
NY003323171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist