Provider Demographics
NPI:1851093363
Name:CORBETT, KAYLA LYNNE (CPHT)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNNE
Last Name:CORBETT
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 W BRADY ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5438
Mailing Address - Country:US
Mailing Address - Phone:412-913-9551
Mailing Address - Fax:
Practice Address - Street 1:570 W BRADY ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5438
Practice Address - Country:US
Practice Address - Phone:412-913-9551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30225729183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician