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Kayla Vanderwall, PA-C — NPI 1164840922, Indianapolis, IN | NPI Central

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NPI 1164840922

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Kayla Vanderwall, PA-C

NPI 1164840922 · Surgical Physician Assistant · Indianapolis, IN

Provider details

NPI number: 1164840922
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: 085007328 (IL)

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400XLicense 085007328 (IL)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

7430 N Shadeland Ave Ste 200

Indianapolis, IN 46250-2036

Phone: (317) 621-0668

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

6626 E 75th St Ste 500

Indianapolis, IN 46250-2890

Additional practice locations (3)

1200 S York St Ste 3280
Elmhurst, IL 60126-5638
Phone: (630) 646-6020
7979 N Shadeland Ave Ste 310
Indianapolis, IN 46250-2042
Phone: (317) 621-0668
231 Noordewier Hall
Grand Rapids, MI 49546-4417
Phone: (219) 743-9368

Registry dates

Enumerated: 2014-03-30
Last updated: 2022-09-01
Certified: 2022-09-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.