Provider Demographics
NPI:1578358529
Name:MCCROSKEY, KAYLA ANN (STNA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:MCCROSKEY
Suffix:
Gender:
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 1/2 ELBERTA DR
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-2106
Mailing Address - Country:US
Mailing Address - Phone:440-320-7569
Mailing Address - Fax:
Practice Address - Street 1:221 1/2 ELBERTA DR
Practice Address - Street 2:
Practice Address - City:VERMILION
Practice Address - State:OH
Practice Address - Zip Code:44089-2106
Practice Address - Country:US
Practice Address - Phone:440-320-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child