Individual
KAYLA TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11711 E MARKET PL STE 100, FULTON, MD 20759-2595
(301) 679-5772
Mailing address
11711 E MARKET PL STE 100, FULTON, MD 20759-2595
(301) 679-5772
(240) 654-0408
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C0008616
MD
363A00000X
Physician Assistant
Primary
C0008616
MD
363AM0700X
Medical Physician Assistant
C0008616
MD
Other
Enumeration date
10/11/2021
Last updated
07/18/2023
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