Individual
MRS. KAYLA ELIZABETH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139
(617) 665-2113
Mailing address
350 MAIN STREET, MALDEN, MA 02148
(508) 250-6386
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA5103
MA
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
05/14/2014
Last updated
01/11/2017
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