| NPI | 1104283365 |
|---|---|
| Former Name | KAYLYN PRICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005201) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011711) |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110-005201) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2025-08-15 |