Provider Demographics
NPI:1790403129
Name:VOSS, KAYLA E (FNP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:E
Last Name:VOSS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3780 EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-9410
Mailing Address - Country:US
Mailing Address - Phone:716-672-3030
Mailing Address - Fax:716-326-3233
Practice Address - Street 1:3780 EAGLE ST
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:NY
Practice Address - Zip Code:14063-9410
Practice Address - Country:US
Practice Address - Phone:716-672-3030
Practice Address - Fax:716-338-1567
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF349478-01363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care