Individual
KAYLA L REINBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61091113
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2019
Last updated
05/17/2021
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