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Individual
KAYLA CLEMONS
Active
Individual
KAYLA CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-136281
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176035
—
AL
01
—
511-60221
BCBS OF AL
—
01
—
P01499103
RR MEDICARE
—
01
—
Z98006
VIVA
—
Enumeration date
01/26/2015
Last updated
08/09/2016
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