Provider Demographics
NPI:1295541472
Name:MYERS, KAYLA MARIE (PA)
Entity type:Individual
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First Name:KAYLA
Middle Name:MARIE
Last Name:MYERS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:235 MEDICAL PARK RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8546
Mailing Address - Country:US
Mailing Address - Phone:704-658-9211
Mailing Address - Fax:704-658-9224
Practice Address - Street 1:235 MEDICAL PARK RD STE 201
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8546
Practice Address - Country:US
Practice Address - Phone:704-658-9211
Practice Address - Fax:704-658-9224
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2025-02-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant