Individual
KAYLIANA RAE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4827 TRANSIT RD, DEPEW, NY 14043-4788
(716) 608-2236
Mailing address
8 TRENTWOOD TRL, LANCASTER, NY 14086-1464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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