Provider Demographics
NPI:1518662980
Name:NEWMAN, KYLA A
Entity Type:Individual
Prefix:
First Name:KYLA
Middle Name:A
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 METCALF RD
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2923
Mailing Address - Country:US
Mailing Address - Phone:440-864-1506
Mailing Address - Fax:
Practice Address - Street 1:517 METCALF RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2923
Practice Address - Country:US
Practice Address - Phone:440-864-1506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker