Provider Demographics
NPI:1083369961
Name:KAYLER, SYDNEY ALYSSA (PA)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ALYSSA
Last Name:KAYLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 N SMOKE RIDGE CT NE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5274
Mailing Address - Country:US
Mailing Address - Phone:770-876-3719
Mailing Address - Fax:
Practice Address - Street 1:301 PHILIP BLVD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8745
Practice Address - Country:US
Practice Address - Phone:770-822-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered