Kayla Marie Sisson
Student in an Organized Health Care Education/Training Program in Dayton, OH. Individual provider (NPI-1).
Details
- NPI
- 1609620004
- Entity type
- Individual (NPI-1)
- Name
- Kayla Marie Sisson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2024
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 208600000X | Surgery | 58.034151 | OH |
Practice location
30 E Apple St Ste 6258Dayton, OH 45409-2939
Phone 937-208-8000
Mailing address
30 E Apple St Ste 6258Dayton, OH 45409-2939
Phone 937-208-8000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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