# KAYLA M VISCA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477107837
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA.0007765 | CO | — |
| 363A00000X | Physician Assistant | PA60956859 | WA | Yes |

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 07/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000213809 | — | CO |
| 01 | — | PA.0007765 | COLORADO LICENSE | CO |