Provider Demographics
NPI:1528553724
Name:ORSAK, KYNDA KAYLEIGH (FNP-C)
Entity Type:Individual
Prefix:
First Name:KYNDA
Middle Name:KAYLEIGH
Last Name:ORSAK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9929 S PADRE ISLAND DR STE 109
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-5148
Mailing Address - Country:US
Mailing Address - Phone:361-937-2121
Mailing Address - Fax:361-937-2123
Practice Address - Street 1:9929 S PADRE ISLAND DR
Practice Address - Street 2:STE 109
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5148
Practice Address - Country:US
Practice Address - Phone:361-937-2121
Practice Address - Fax:718-640-2713
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily