Provider Demographics
NPI:1992501902
Name:HALL, KAYLA RAE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:RAE
Last Name:HALL
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 SUGAR MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:HAROLD
Mailing Address - State:KY
Mailing Address - Zip Code:41635-9132
Mailing Address - Country:US
Mailing Address - Phone:606-424-4161
Mailing Address - Fax:
Practice Address - Street 1:17721 KY ROUTE 122
Practice Address - Street 2:
Practice Address - City:HI HAT
Practice Address - State:KY
Practice Address - Zip Code:41636-6235
Practice Address - Country:US
Practice Address - Phone:606-949-1006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4028972363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily