Provider Demographics
NPI:1639878739
Name:KNOP, KAYLA MAE (BS)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MAE
Last Name:KNOP
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ROUTE 539
Mailing Address - Street 2:
Mailing Address - City:CREAM RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08514-1516
Mailing Address - Country:US
Mailing Address - Phone:732-859-2583
Mailing Address - Fax:
Practice Address - Street 1:290 ROUTE 539
Practice Address - Street 2:
Practice Address - City:CREAM RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08514-1516
Practice Address - Country:US
Practice Address - Phone:732-859-2583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer