National Provider Identifier

Kyla Marie Jorgenson, MD

Kyla Marie Jorgenson, MD is listed in the NPPES registry with a primary specialty of Pediatric Pathology Physician in Rochester, NY and a listed phone number of (585) 756-4800.

NPI 1134709744Rochester, NYPediatric Pathology Physician

Profile Overview

NPI
1134709744
Provider Type
Individual
Primary Specialty
Pediatric Pathology Physician
Enumeration Date
April 09, 2021
Last Updated
June 11, 2025

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 756-4800

Mailing Address

  • 3401 Civic Center Blvd
  • Division Of Pediatric Pathology
  • Philadelphia, PA 19104

Specialties

  • Pediatric Pathology Physician (207ZP0213X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1134709744
Entity Type
Individual
Last Name
Jorgenson
First Name
Kyla
Middle Name
Marie
Credential
MD
Mailing Street Address
3401 Civic Center Blvd
Mailing Address Line 2
Division Of Pediatric Pathology
Mailing City
Philadelphia
Mailing State
PA
Mailing ZIP Code
19104
Mailing Country
US
Mailing Phone
(215) 590-1728
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 756-4800
Enumeration Date
April 09, 2021
Last Updated
June 11, 2025
Sex
Female
Sole Proprietor
No
Certification Date
June 11, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Pathology Physician (207ZP0213X), Student in an Organized Health Care Education/Training Program (390200000X)