Individual
KAYLA ANN BANYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 GOETHALS DR STE E, RICHLAND, WA 99352
(509) 942-3095
(509) 942-3097
Mailing address
1100 GOETHALS DR STE E, RICHLAND, WA 99352-3301
(509) 942-3095
(509) 942-3097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-004918
VA
363AS0400X
Surgical Physician Assistant
Primary
PA60892408
WA
Other
Enumeration date
04/15/2015
Last updated
12/13/2018
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