Provider Demographics
NPI:1891563300
Name:MYERS, KAYLA (PHARMD, MPH)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 SE WADDELL WAY
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-2107
Mailing Address - Country:US
Mailing Address - Phone:941-779-8753
Mailing Address - Fax:
Practice Address - Street 1:1200 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1406
Practice Address - Country:US
Practice Address - Phone:515-241-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA236331835E0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835E0208XPharmacy Service ProvidersPharmacistEmergency MedicineGroup - Single Specialty