Individual
MRS. KAYLA OURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9057
Mailing address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007556
VA
Other
Enumeration date
03/19/2020
Last updated
07/22/2024
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