Kayla Lodge, PA-C
Physician Assistant in Princeton, New Jersey
1174071625- Practice location
- 325 Princeton Ave, Princeton, NJ 08540-1698
- Phone
- 609-924-8131
- Fax
- 609-924-8532
- Last updated
- September 26, 2024
Kayla Lodge is a Physician Assistant based in Princeton, NJ. Kayla Lodge practices in Princeton, NJ and has the professional credentials of PA-C. The NPI Number for Kayla Lodge is 1174071625 and holds a License No. 25MP00409800 (NJ). The current practice location address for Kayla Lodge is 325 Princeton Ave, Princeton, NJ 08540-1698 and can be reached out via phone at 609-924-8131 and via fax at 609-924-8532.
Provider Profile Details
- NPI Number
- 1174071625
- Provider Name
- Kayla Lodge
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 325 Princeton Ave, Princeton, NJ 08540-1698
- Phone Number
- 609-924-8131
- Fax Number
- 609-924-8532
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Kayla Kelly, PA-C (Former Name)
- Provider Enumeration Date
- September 13, 2016
- Last Update Date
- September 26, 2024
- Certification Date
- September 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 325 Princeton Ave
Princeton, NJ 08540-1698 - City
- Princeton
- State
- New Jersey
- Zip
- 08540-1698
- Phone Number
- 609-924-8131
- Fax Number
- 609-924-8532
Provider Business Mailing Address Details
- Address
- 325 Princeton Ave
Princeton, NJ 08540-1698 - City
- Princeton
- State
- NJ
- Zip
- 08540-1698
- Phone Number
- 609-924-8131
- Fax Number
- 609-924-8532
License Information
- License Number
- 25MP00409800
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kayla Lodge, PA-C?
The NPI number of Kayla Lodge, PA-C is 1174071625. It was assigned on September 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Kayla Lodge, PA-C?
Kayla Lodge, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00409800.
Where does Kayla Lodge, PA-C practice?
The practice location is 325 Princeton Ave, Princeton, NJ 08540-1698. The office can be reached at 609-924-8131 (phone) or 609-924-8532 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174071625 directly on the NPPES registry website.