Individual
KAYLA MANRING ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 TOWNE VILLAGE DR, CARY, NC 27513-8910
(919) 859-3373
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
302520
NC
363AM0700X
Medical Physician Assistant
Primary
0010-11581
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720678287
—
NC
Enumeration date
01/19/2021
Last updated
05/28/2023
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