Provider Demographics
NPI:1316798416
Name:PHELPS, KAYLA (CNM)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:PHELPS
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:3384 CEDAR VALLEY WAY APT B1
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3681
Mailing Address - Country:US
Mailing Address - Phone:412-996-6544
Mailing Address - Fax:
Practice Address - Street 1:414 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-2023
Practice Address - Country:US
Practice Address - Phone:716-427-4541
Practice Address - Fax:844-884-3605
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife