Provider Demographics
NPI:1912749276
Name:NOTT, KAYLA ELAINE (MS, AS, MED)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:ELAINE
Last Name:NOTT
Suffix:
Gender:F
Credentials:MS, AS, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 780237
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67278-0237
Mailing Address - Country:US
Mailing Address - Phone:573-356-8203
Mailing Address - Fax:
Practice Address - Street 1:2437 N 127TH CT E
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8305
Practice Address - Country:US
Practice Address - Phone:573-356-8203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-08
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
KS385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No385H00000XRespite Care FacilityRespite Care