Kayla Niquel Gorham, is a
Student In An Organized Health Care Education/training Program based in Greenville, North Carolina. Kayla Niquel Gorham is licensed to practice in * (Not Available) (license number ) and her current practice location is
1851 Macgregor Downs Rd Apt R, Greenville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 737-7000.
NPI number for Kayla Niquel Gorham is 1184321168 and her current mailing address is 520 N 12th St, Richmond, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184321168.
Healthcare Provider's Profile
| Full Name | Kayla Niquel Gorham |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1851 Macgregor Downs Rd Apt R, Greenville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184321168
- Provider Enumeration Date: 02/10/2023
- Last Update Date: 06/02/2025
Medical Identifiers
Medical identifiers for Kayla Niquel Gorham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184321168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 0401419440 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Niquel Gorham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kayla Niquel Gorham,
520 N 12th St,
Richmond, VA 23298-5064
Ph: (804) 828-9095 | Kayla Niquel Gorham,
1851 Macgregor Downs Rd Apt R,
Greenville, NC 27834-5925
Ph: (252) 737-7000 |
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