Provider Demographics
NPI:1306616842
Name:TAULBEE, KAYLA JEAN
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:JEAN
Last Name:TAULBEE
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 1:1004 PRAIRIE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8437
Mailing Address - Country:US
Mailing Address - Phone:606-569-6350
Mailing Address - Fax:
Practice Address - Street 1:2187 LEXINGTON RD STE A6
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-7919
Practice Address - Country:US
Practice Address - Phone:606-569-6350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY267343225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist