Provider Demographics
NPI:1548018385
Name:KENNARD, MCKAYLA (LAY MIDWIFE)
Entity type:Individual
Prefix:
First Name:MCKAYLA
Middle Name:
Last Name:KENNARD
Suffix:
Gender:F
Credentials:LAY MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 NIAGARA AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2716
Mailing Address - Country:US
Mailing Address - Phone:330-949-5400
Mailing Address - Fax:
Practice Address - Street 1:1256 NIAGARA AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-2716
Practice Address - Country:US
Practice Address - Phone:330-949-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay