Provider Demographics
NPI:1952033623
Name:LELAND, KAYLA KELLY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:KELLY
Last Name:LELAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 E 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3219
Mailing Address - Country:US
Mailing Address - Phone:509-838-3508
Mailing Address - Fax:
Practice Address - Street 1:810 E 29TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3219
Practice Address - Country:US
Practice Address - Phone:509-838-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61304638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist