Provider Demographics
NPI:1285436089
Name:FOUT, KAYLA
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:FOUT
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:BRESETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26652 TOWNSHIP ROAD 340 # A
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:OH
Mailing Address - Zip Code:43844-9577
Mailing Address - Country:US
Mailing Address - Phone:740-294-8778
Mailing Address - Fax:
Practice Address - Street 1:26652 TOWNSHIP ROAD 340 # A
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:OH
Practice Address - Zip Code:43844-9577
Practice Address - Country:US
Practice Address - Phone:740-294-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6025559601243747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant