National Provider Identifier
Kaylan Michelle Mayo, PA-C
Kaylan Michelle Mayo, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 986-9199.
Profile Overview
- NPI
- 1003653619
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 10, 2024
- Last Updated
- September 19, 2024
Practice Location
- 34 Benwood Ave
- Buffalo, NY 14214-1761
Phone: (716) 986-9199
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1003653619
- Entity Type
- Individual
- Last Name
- Mayo
- First Name
- Kaylan
- Middle Name
- Michelle
- Name Prefix
- MS.
- Credential
- PA-C
- Mailing Street Address
- 34 Benwood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1761
- Mailing Country
- US
- Mailing Phone
- (716) 986-9199
- Mailing Fax
- (716) 342-2340
- Practice Street Address
- 34 Benwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1761
- Practice Country
- US
- Practice Phone
- (716) 986-9199
- Practice Fax
- (716) 342-2340
- Enumeration Date
- July 10, 2024
- Last Updated
- September 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 032358 (NY, Ny License)