Provider Demographics
NPI:1891548384
Name:BUCHANAN, KAYLA D
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:D
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KAYLA
Other - Middle Name:D
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:56 BEAVER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-1134
Mailing Address - Country:US
Mailing Address - Phone:401-533-6808
Mailing Address - Fax:
Practice Address - Street 1:1130 TEN ROD RD STE C104
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4127
Practice Address - Country:US
Practice Address - Phone:401-250-2731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health