Kaylie Alexandra Temporal, PA

NPI #1861896300 in Athens, Texas

Provider Information

NPI Number: 1861896300
Entity Type: Individual
Name: Kaylie Alexandra Temporal, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 13, 2014
Last Updated: Apr 27, 2015

Practice Location

Address: 824 SOUTHPARK CIR
City: Athens
State: Texas
ZIP Code: 75752-6943
Phone: (903) 675-7376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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