Provider Demographics
NPI:1952010787
Name:KRAHN, KAYLIN JAYNA
Entity type:Individual
Prefix:
First Name:KAYLIN
Middle Name:JAYNA
Last Name:KRAHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5540 W 139TH ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-6450
Mailing Address - Country:US
Mailing Address - Phone:310-490-6642
Mailing Address - Fax:
Practice Address - Street 1:5540 W 139TH ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-6450
Practice Address - Country:US
Practice Address - Phone:310-999-1281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program