Individual
KAYLA NICOLE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 NORTHUMBERLAND ST, DANVILLE, PA 17822-9737
(570) 284-4575
(570) 284-4577
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054503
PA
363A00000X
Physician Assistant
Primary
OA002587
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031468700001
—
PA
01
—
200533F6K
MEDICARE
PA
Enumeration date
11/12/2010
Last updated
01/16/2023
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