Individual
KAYLA EEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
490 E NORTH AVE STE 515, PITTSBURGH, PA 15212-4780
(412) 681-2300
Mailing address
490 E NORTH AVE STE 515, PITTSBURGH, PA 15212-4780
(412) 681-2300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103913499
—
PA
01
—
15103162
CAQH
—
Enumeration date
12/09/2020
Last updated
03/22/2023
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