Provider Demographics
NPI:1770900086
Name:SOJA, KAILA LOUISE (PA)
Entity type:Individual
Prefix:
First Name:KAILA
Middle Name:LOUISE
Last Name:SOJA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FL
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:413-794-1629
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-284-5308
Practice Address - Fax:413-284-5413
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2020-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT4374363AM0700X
MAPA5976363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical