Provider Demographics
NPI:1154717262
Name:HANDY, KAYLA DAWN (MD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:DAWN
Last Name:HANDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1491 LEGENDS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8393
Mailing Address - Country:US
Mailing Address - Phone:407-966-1480
Mailing Address - Fax:407-966-1481
Practice Address - Street 1:1491 LEGENDS BLVD
Practice Address - Street 2:
Practice Address - City:CHAMPIONS GATE
Practice Address - State:FL
Practice Address - Zip Code:33896-8393
Practice Address - Country:US
Practice Address - Phone:407-966-1480
Practice Address - Fax:407-966-1481
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-007782084N0400X
TN615412084N0400X
FLME1491672084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology