MEDICARE: KAYLA LYNN MYERS MD

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	2084P0800X	Psychiatry Physician	MD27424	ME
2	2084P0804X	Child & Adolescent Psychiatry Physician	MD27424	ME

General Provider Information

NPI Number	:	1790276665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA LYNN MYERS MD

Provider Business Mailing Address
First Line	:	171 WARREN AVE
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04103-1103
Country	:	US
Telephone Number	:	207-607-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 WARREN AVE
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04103-1103
Country	:	US
Telephone Number	:	207-607-4022
Fax Number	:	207-613-5048

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

Provider Enumeration Date	:	05/25/2018
Last Update Date	:	02/27/2025

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