Individual
KAYLA M WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
(785) 565-4703
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
(785) 565-4703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01878
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130520029
MEDICARE
—
Enumeration date
02/01/2016
Last updated
10/07/2016
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