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Individual
MRS. KAYLA T TRAN
Active
Individual
MRS. KAYLA T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015026922
MO
363L00000X
Nurse Practitioner
Primary
2015026922
MO
363LA2100X
Acute Care Nurse Practitioner
2017001679
MO
363LG0600X
Gerontology Nurse Practitioner
2017001679
MO
Other
Enumeration date
12/20/2016
Last updated
08/28/2020
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