Provider Demographics
NPI:1124879978
Name:CLOKIE, KAYLA JESSIE ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:JESSIE ELIZABETH
Last Name:CLOKIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CHIPSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH YORK
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M3B3E6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41-1347 KALANIANAOLE HWY
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1247
Practice Address - Country:US
Practice Address - Phone:808-259-5466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program