Provider Demographics
NPI:1295150233
Name:FRANK, KAYLA ANN (PA-C)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:FRANK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:ANN
Other - Last Name:CZMOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4209 WEBBER PKWY
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1747
Mailing Address - Country:US
Mailing Address - Phone:637-581-5750
Mailing Address - Fax:763-581-5751
Practice Address - Street 1:4209 WEBBER PKWY
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412
Practice Address - Country:US
Practice Address - Phone:637-581-5750
Practice Address - Fax:763-581-5751
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0914363A00000X
NE1934363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant