Individual
KYLLINGTON LEIGH SPOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-2891
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-8765
(910) 362-9123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-15763
NC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
12/03/2025
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