Provider Demographics
NPI:1972497683
Name:QUIGLEY, KAIDEN ELISABETH (PA-C)
Entity type:Individual
Prefix:MISS
First Name:KAIDEN
Middle Name:ELISABETH
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-808-7916
Mailing Address - Fax:570-703-2082
Practice Address - Street 1:3 W OLIVE ST STE 210
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-2574
Practice Address - Country:US
Practice Address - Phone:570-808-7916
Practice Address - Fax:570-703-2082
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMA066666363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant