Provider Demographics
NPI:1568901551
Name:MATSCHEK, KAYLA (PA-S)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:
Last Name:MATSCHEK
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 TIMBERCAT DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-1745
Mailing Address - Country:US
Mailing Address - Phone:325-201-7993
Mailing Address - Fax:
Practice Address - Street 1:5757 TIMBERCAT DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-1745
Practice Address - Country:US
Practice Address - Phone:325-201-7993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant