Provider Demographics
NPI:1902371693
Name:HUSS, KAYLEIGH M (PA)
Entity Type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:M
Last Name:HUSS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KAYLEIGH
Other - Middle Name:M
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:32 WICKS LN
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3810
Mailing Address - Country:US
Mailing Address - Phone:406-237-8400
Mailing Address - Fax:406-237-8405
Practice Address - Street 1:32 WICKS LN
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3810
Practice Address - Country:US
Practice Address - Phone:406-237-8400
Practice Address - Fax:406-237-8405
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PAC-LIC-69379363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant