Provider Demographics
NPI:1730374463
Name:SHOLES, KAYLA JACE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:JACE
Last Name:SHOLES
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:214 PEACH ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:MC CONNELLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17233-8559
Mailing Address - Country:US
Mailing Address - Phone:717-485-7300
Mailing Address - Fax:717-485-2852
Practice Address - Street 1:50 EASTERN AVE STE 135
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1195
Practice Address - Country:US
Practice Address - Phone:717-597-3151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2025-01-24
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Provider Licenses
StateLicense IDTaxonomies
PAMA-053021363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical