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Kayla Page

Physician Assistant in Raleigh, NC. Individual provider (NPI-1).

NPI number1407484157
StatusActive
Last updated in NPPESJun 28, 2022

Details

NPI
1407484157
Entity type
Individual (NPI-1)
Name
Kayla Page
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 30, 2020
Certification date
Jun 28, 2022
Last updated
Jun 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

184 Wind Chime Ct Ste 103
Raleigh, NC 27615-6485

Phone 252-228-4448

Mailing address

23 Riale Ave
Johnson City, NY 13790-2707

Other practice locations

23 Riale Ave
Johnson City, NY 13790-2707

Phone 607-221-8797

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