Healthcare Provider Details

I. General information

NPI: 1780249540
Provider Name (Legal Business Name): KAYLA CARMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 W MARKET ST STE 205
LIMA OH
45805-2745
US

IV. Provider business mailing address

825 W MARKET ST STE 205
LIMA OH
45805-2745
US

V. Phone/Fax

Practice location:
  • Phone: 141-999-6578
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.018466
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2324
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: