Individual
KAYLA TUDRYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 LANGEVIN ST, CHICOPEE, MA 01020-4031
(413) 887-7226
Mailing address
53 LANGEVIN ST, CHICOPEE, MA 01020-4031
(413) 887-7226
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
S09981228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043969219
—
MA
Enumeration date
08/04/2021
Last updated
08/04/2021
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