Individual
MS. KYLA ALYSE ALTIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
(814) 535-6000
Mailing address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
(814) 535-6000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN323831
PA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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