Healthcare Provider Details
I. General information
NPI: 1245184860
Provider Name (Legal Business Name): KAYLA RALEIGH HESS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/21/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 OLD GEORGETOWN RD STE 301
BETHESDA MD
20814
US
IV. Provider business mailing address
2055 15TH ST N APT 403
ARLINGTON VA
22201-6405
US
V. Phone/Fax
- Phone: 301-657-9876
- Fax:
- Phone: 704-302-5520
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AS0400X |
| Taxonomy | Surgical Physician Assistant |
| License Number | C0010601 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: