Individual
KAYLA ERIN HALLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34025 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3737
(586) 445-9900
Mailing address
9347 SPARLING RD, WALES, MI 48027-1807
(586) 770-3343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012788
MI
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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