Provider Demographics
NPI:1497493811
Name:PARENT, KAYLA M (PA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:M
Last Name:PARENT
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Gender:
Credentials:PA
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Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:3300 MAIN STREET
Practice Address - Street 2:3RD FL, SUITE A
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1112
Practice Address - Country:US
Practice Address - Phone:413-794-7364
Practice Address - Fax:413-794-7482
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2025-05-08
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Provider Licenses
StateLicense IDTaxonomies
MAPA8835363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical