Individual
MRS. KAYLA HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 HARRISON AVE, MOAKLEY, SUITE 3400, BOSTON, MA 02118
(617) 414-8060
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1163682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110154717A
—
MA
Enumeration date
06/06/2019
Last updated
12/07/2023
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