Individual
MISS KAYLEY MAE SPINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
502 W BROAD ST STE 2, FALLS CHURCH, VA 22046-3206
(571) 421-8431
Mailing address
2570 ROUTE 9W STE 10, CORNWALL, NY 12518-1370
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010225
VA
363AM0700X
Medical Physician Assistant
024292-01
NY
Other
Enumeration date
12/09/2019
Last updated
08/15/2024
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