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Kayla Vanderwall, PA-C
NPI 1164840922 · on the registry since 2014
Practice
- Address
- 7430 N Shadeland Ave Ste 200
Indianapolis, IN 46250 - Phone
- (317) 621-0668
- Organisation at this address
- Scp Anesthesia Llc
Scp Indianapolis Llc
Timothy A Goedde Md Pc
Colon & Rectal Care Inc
Surgery Center Plus IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 231 Noordewier Hall, Grand Rapids, MI
- 7979 N Shadeland Ave Ste 310, Indianapolis, IN
- 1200 S York St Ste 3280, Elmhurst, IL
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Surgical Physician Assistant
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana