| NPI | 1427415090 |
|---|---|
| Former Name | KAYLA KERNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2925) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: TN 2925) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2022-03-16 |