Provider Demographics
NPI:1447090428
Name:MAGA, KAYLA MARIE (PA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:MAGA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:90 LAMBERT ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15926-1404
Mailing Address - Country:US
Mailing Address - Phone:814-691-1319
Mailing Address - Fax:
Practice Address - Street 1:943 MAPLE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2812
Practice Address - Country:US
Practice Address - Phone:855-988-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant