Provider Demographics
NPI:1669332326
Name:HAY, KAYLA YWAN
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:YWAN
Last Name:HAY
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 1:3001 HELENA RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41041-8190
Mailing Address - Country:US
Mailing Address - Phone:606-748-9676
Mailing Address - Fax:606-756-2474
Practice Address - Street 1:3001 HELENA RD
Practice Address - Street 2:
Practice Address - City:FLEMINGSBURG
Practice Address - State:KY
Practice Address - Zip Code:41041-8190
Practice Address - Country:US
Practice Address - Phone:606-748-9676
Practice Address - Fax:606-756-2474
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1117117163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty