Provider Demographics
NPI:1710414123
Name:CHOO CHONG, KAYLA HELEN (MBBCH, BAO)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:HELEN
Last Name:CHOO CHONG
Suffix:
Gender:F
Credentials:MBBCH, BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800136
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908
Mailing Address - Country:US
Mailing Address - Phone:434-924-8145
Mailing Address - Fax:434-244-9438
Practice Address - Street 1:1215 LEE STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908
Practice Address - Country:US
Practice Address - Phone:434-924-5408
Practice Address - Fax:434-924-5149
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program