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NPI Code Detail

MEDICARE: KAYLA NICOLE DONAHUE PA-C

MEDICARE: KAYLA NICOLE DONAHUE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant15-02620KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487302519
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA NICOLE DONAHUE PA-C
Provider Business Mailing Address
First Line : 325 MAINE STREET
Second Line : MSO LIBRARY
City : LAWRENCE
State : KS
Zip : 66044
Country : US
Telephone Number : 785-505-2988
Fax Number : 785-505-5228
Provider Business Practice Location Address
First Line : 3211 S IOWA ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-5238
Country : US
Telephone Number : 785-505-5475
Fax Number : 785-505-5326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2022
Last Update Date : 12/19/2025

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Directions to “ KAYLA NICOLE DONAHUE PA-C” Practice Location

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