Individual
KAYLA MICHELLE AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 GREENWICH RD, CHARLOTTE, NC 28211-2316
(704) 384-8680
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13096
NC
Other
Enumeration date
03/10/2023
Last updated
11/14/2025
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