Provider Demographics
NPI:1790207041
Name:VOLKERT, KAYLA (OD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:VOLKERT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:SPANGENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:851 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3337
Mailing Address - Country:US
Mailing Address - Phone:610-922-1225
Mailing Address - Fax:610-922-1220
Practice Address - Street 1:851 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3337
Practice Address - Country:US
Practice Address - Phone:610-922-1225
Practice Address - Fax:610-922-1220
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003291152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist