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NPI Code Detail

MEDICARE: DR. KAYLA B KINNER PHARMD

MEDICARE: DR. KAYLA B KINNER PHARMD
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
11835P1300XPsychiatric Pharmacist18994-40WI

General Provider Information

NPI Number : 1780101709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAYLA B KINNER PHARMD
Provider Business Mailing Address
First Line : 10424 W BLUEMOUND RD STE B
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4331
Country : US
Telephone Number : 414-244-9844
Fax Number :
Provider Business Practice Location Address
First Line : 10424 W BLUEMOUND RD STE B
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4331
Country : US
Telephone Number : 414-244-9844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 07/21/2022

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