Provider Demographics
NPI:1013104769
Name:NEWLAND, KYLA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:KYLA
Middle Name:ELIZABETH
Last Name:NEWLAND
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 1:650 S COBB ST
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-6320
Mailing Address - Country:US
Mailing Address - Phone:907-982-7948
Mailing Address - Fax:
Practice Address - Street 1:650 S COBB ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6320
Practice Address - Country:US
Practice Address - Phone:907-761-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3162183500000X
AK1771183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist