Individual
KAYLA REBECCA PEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
191 N VALLEY RD, LEEDS, UT 84746-0757
(435) 705-3593
Mailing address
PO BOX 460757, LEEDS, UT 84746-0757
(435) 705-3593
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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