Provider Demographics
NPI:1043055809
Name:COLLINS, KAYELA (PRS-HS)
Entity type:Individual
Prefix:
First Name:KAYELA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PRS-HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-2554
Mailing Address - Country:US
Mailing Address - Phone:330-625-4711
Mailing Address - Fax:
Practice Address - Street 1:526 CANTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-2554
Practice Address - Country:US
Practice Address - Phone:330-625-4711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist