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NPI Code Detail

MEDICARE: KAYLA MICHELLE DENNIS CSFA

MEDICARE: KAYLA MICHELLE DENNIS CSFA
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
1246ZC0007XSurgical Assistant157560OR

General Provider Information

NPI Number : 1760996524
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MICHELLE DENNIS CSFA
Provider Business Mailing Address
First Line : 21043 DON ST
Second Line :
City : BEND
State : OR
Zip : 97701-6219
Country : US
Telephone Number : 541-219-2920
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NE NEFF RD
Second Line :
City : BEND
State : OR
Zip : 97701-6015
Country : US
Telephone Number : 541-647-1638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 11/30/2017

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Directions to “ KAYLA MICHELLE DENNIS CSFA” Practice Location

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