Provider Demographics
NPI:1265317960
Name:SNYDER, KAYLEE A
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:A
Last Name:SNYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:WESTERNPORT
Mailing Address - State:MD
Mailing Address - Zip Code:21562-1123
Mailing Address - Country:US
Mailing Address - Phone:240-589-9044
Mailing Address - Fax:
Practice Address - Street 1:213 POPLAR ST
Practice Address - Street 2:
Practice Address - City:WESTERNPORT
Practice Address - State:MD
Practice Address - Zip Code:21562-1123
Practice Address - Country:US
Practice Address - Phone:240-589-9044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant