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NPI Code Detail

MEDICARE: KAYLA CRUTCHFIELD PA-S

MEDICARE: KAYLA CRUTCHFIELD PA-S
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063344125
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA CRUTCHFIELD PA-S
Provider Business Mailing Address
First Line : 10658 BASSWOOD DR
Second Line :
City : FRISCO
State : TX
Zip : 75033-3180
Country : US
Telephone Number : 469-534-3264
Fax Number :
Provider Business Practice Location Address
First Line : 3600 N GARFIELD ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-6329
Country : US
Telephone Number : 432-620-1120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ KAYLA CRUTCHFIELD PA-S” Practice Location

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