Individual
KAYLA SMALLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6119 US HIGHWAY 11, CANTON, NY 13617-3991
(315) 261-5810
Mailing address
6119 US HIGHWAY 11, CANTON, NY 13617-3991
(315) 261-5810
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
701890
NY
363L00000X
Nurse Practitioner
Primary
350187
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2016
Last updated
08/18/2022
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