Individual
MRS. KAYLA HALLERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8401 GOLDEN VALLEY RD STE 340, GOLDEN VALLEY, MN 55427-4488
(952) 960-9399
Mailing address
560 S MAPLE ST STE 400, WACONIA, MN 55387-1757
(952) 856-4067
(952) 442-8016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14306
MN
Other
Enumeration date
11/06/2014
Last updated
10/25/2024
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