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Individual

KAYLA HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 SPARTAN WAY, LIMA, OH 45801
(419) 996-3436
(419) 225-8878
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 221-3072
(419) 549-5671

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004690RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0186464
OH
Enumeration date
09/21/2016
Last updated
11/03/2023
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