Individual
KYLA EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 PINON DR, WEST HENRIETTA, NY 14586-9707
(402) 650-8355
Mailing address
24 PINON DR, WEST HENRIETTA, NY 14586-9707
(402) 650-8355
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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