Individual
KAYLA MICHELLE MOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 709-7435
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 709-7435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA643
AR
Other
Enumeration date
12/31/2015
Last updated
11/15/2018
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