Individual
KYLA WALLASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(864) 582-6396
Mailing address
1315 N 16TH ST, BOISE, ID 83702-3431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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