Provider Demographics
NPI:1558884650
Name:WAPINSKY, KAILYN NICOLE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:KAILYN
Middle Name:NICOLE
Last Name:WAPINSKY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 1192
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33509-1192
Mailing Address - Country:US
Mailing Address - Phone:813-651-4441
Mailing Address - Fax:813-661-3374
Practice Address - Street 1:1355 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4885
Practice Address - Country:US
Practice Address - Phone:813-651-4441
Practice Address - Fax:813-661-3374
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9110442363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant