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NPI Code Detail

MEDICARE: KAYLA TROCKMAN PA

MEDICARE: KAYLA TROCKMAN PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1417681669
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA TROCKMAN PA
Provider Business Mailing Address
First Line : 10 TERIS WAY
Second Line :
City : FRANKLIN
State : MA
Zip : 02038-3206
Country : US
Telephone Number : 774-571-9928
Fax Number :
Provider Business Practice Location Address
First Line : 20 PROSPECT ST
Second Line :
City : MILFORD
State : MA
Zip : 01757-3042
Country : US
Telephone Number : 508-488-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/20/2022

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Directions to “ KAYLA TROCKMAN PA” Practice Location

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