Provider Demographics
NPI:1487107348
Name:BEATTY, KAYLA ANN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:ANN
Last Name:BEATTY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:348 BUDFIELD ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3214
Mailing Address - Country:US
Mailing Address - Phone:814-262-3950
Mailing Address - Fax:814-262-3990
Practice Address - Street 1:348 BUDFIELD ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3214
Practice Address - Country:US
Practice Address - Phone:814-262-3950
Practice Address - Fax:814-262-3990
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2024-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA058336363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical