Provider Demographics
NPI:1992687560
Name:COMO, KAYLAH MICHEAL
Entity type:Individual
Prefix:
First Name:KAYLAH
Middle Name:MICHEAL
Last Name:COMO
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 1:191 HARTNELL AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1885
Mailing Address - Country:US
Mailing Address - Phone:503-440-5556
Mailing Address - Fax:
Practice Address - Street 1:191 HARTNELL AVE STE 101
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1885
Practice Address - Country:US
Practice Address - Phone:503-440-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach