Individual
MRS. KYLA HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
134 DORAN DR, SHAVERTOWN, PA 18708-1613
(570) 899-5749
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
SP030763
PA
367A00000X
Advanced Practice Midwife
Primary
MW010823
PA
Other
Enumeration date
09/15/2021
Last updated
12/09/2025
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