Individual
KAYLA WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
645 ROUTE 18, EAST BRUNSWICK, NJ 08816-3760
(732) 390-1160
Mailing address
645 ROUTE 18, EAST BRUNSWICK, NJ 08816-3760
(732) 390-1160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00879400
NJ
363AM0700X
Medical Physician Assistant
25MP00879400
NJ
Other
Enumeration date
08/27/2024
Last updated
12/04/2024
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