Individual
KAYLA LAUREN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4410 REGENT ST, MADISON, WI 53705-4901
(608) 233-9746
(608) 233-0026
Mailing address
112 HELEN ST, SAUK CITY, WI 53583-1168
(608) 643-3351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4095-23
WISCONSIN PROFESSIONAL LICENSE NUMBER
WI
Enumeration date
07/28/2017
Last updated
12/09/2025
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