Individual
KAYLA BAKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4351 BOOTH CALLOWAY RD, SUITE 101, NORTH RICHLAND HILLS, TX 76180-7378
(817) 284-1165
(817) 284-2677
Mailing address
4351 BOOTH CALLOWAY RD, SUITE 101, NORTH RICHLAND HILLS, TX 76180-7378
(817) 284-1165
(817) 284-2677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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