Individual
DR. KAYLA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
560 WESTGATE PKWY STE 4, DOTHAN, AL 36303-3076
(229) 220-9936
Mailing address
5158 GA HIGHWAY 45, IRON CITY, GA 39859-3304
(229) 220-9936
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1261A
AL
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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