Individual
KYLIE LAUGHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250B BUTLER CMNS, BUTLER, PA 16001-2485
(877) 987-4368
Mailing address
206 LEMMON HOLLOW RD, KITTANNING, PA 16201-3322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059994
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA059994
—
PA
Enumeration date
11/15/2018
Last updated
06/10/2024
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