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Individual

KAYLA WIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPAS, PA-C

Contact information

Practice address
1304 SAND HILL RD, HUMMELSTOWN, PA 17036-9713
(716) 348-8795
Mailing address
1304 SAND HILL RD, HUMMELSTOWN, PA 17036-9713
(716) 348-8795

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060638
PA

Other

Enumeration date
05/07/2019
Last updated
05/07/2019
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