Healthcare Provider Details

I. General information

NPI: 1477853612
Provider Name (Legal Business Name): KAYLA L WIRFEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA L SEDOR PA-C

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 07/30/2026
Certification Date: 11/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 SOMERSET ST UPMC HILLMAN CANCER CENTER
JOHNSTOWN PA
15901-2541
US

IV. Provider business mailing address

337 SOMERSET ST
JOHNSTOWN PA
15901-2541
US

V. Phone/Fax

Practice location:
  • Phone: 814-534-4724
  • Fax:
Mailing address:
  • Phone: 814-534-4723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA054365
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: