Provider Demographics
NPI:1457711400
Name:FRANK, KAYLA (CDM)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:FRANK
Suffix:
Gender:M
Credentials:CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 E JENNY CIR
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-9358
Mailing Address - Country:US
Mailing Address - Phone:907-315-8766
Mailing Address - Fax:
Practice Address - Street 1:11700 E JENNY CIR
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9358
Practice Address - Country:US
Practice Address - Phone:907-315-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK108157175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay