Provider Demographics
NPI:1205327640
Name:THURLOW, KYLA JUNE (PA-C)
Entity type:Individual
Prefix:
First Name:KYLA
Middle Name:JUNE
Last Name:THURLOW
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:24 MORRILL PL STE 2
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3530
Mailing Address - Country:US
Mailing Address - Phone:978-834-8074
Mailing Address - Fax:978-834-8077
Practice Address - Street 1:21 HIGHLAND AVE STE 3
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3873
Practice Address - Country:US
Practice Address - Phone:978-572-1149
Practice Address - Fax:978-465-4069
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2021-09-08
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Provider Licenses
StateLicense IDTaxonomies
MAPA6547363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant