MEDICARE: KAYLA O'MALLEY D.P.M.

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
1	213E00000X	Podiatrist	2454	MA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	2454	MA

General Provider Information

NPI Number	:	1245642438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA O'MALLEY D.P.M.

Provider Business Mailing Address
First Line	:	250 N MAIN ST STE 102
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028-1834
Country	:	US
Telephone Number	:	413-525-5200
Fax Number	:	413-525-5700

Provider Business Practice Location Address
First Line	:	250 N MAIN ST STE 102
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028-1834
Country	:	US
Telephone Number	:	413-525-5200
Fax Number	:	413-525-5700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	08/20/2021

Similar Medicare Providers

1326333840 — DR. ELIZABETH ANN SCHWARTZ D.P.M
Practice Location Address:

250 N MAIN ST STE 201
EAST LONGMEADOW, MA
01028-1834

Practice Phone: 413-525-5200
Practice Fax: 413-525-5700

1114492345 — ASCENT DENTAL CARE LLC
Practice Location Address:

250 N MAIN ST
EAST LONGMEADOW, MA
01028-1834

Practice Phone: 413-224-1493
Practice Fax: 413-224-1746

1851956668 — JOHN CALABRESE
Practice Location Address:

250 N MAIN ST STE A
EAST LONGMEADOW, MA
01028-1834

Practice Phone: 413-224-1493
Practice Fax:

1720648561 — SAMANTHA BEAUDOIN NP
Practice Location Address:

250 N MAIN ST , STE 101
EAST LONGMEADOW, MA
01028-1834

Practice Phone: 413-525-1870
Practice Fax:

1568096261 — EAST POINT FOOT & ANKLE PC
Practice Location Address:

250 N MAIN ST STE 102
E LONGMEADOW, MA
01028-1834

Practice Phone: 413-525-5200
Practice Fax: 413-525-5700

1962141036 — DEAVEN NICOLE MACIAS DO
Practice Location Address:

250 N MAIN ST
EAST LONGMEADOW, MA
01028-1834

Practice Phone: 413-794-0000
Practice Fax:

Directions to “ KAYLA O'MALLEY D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.