Individual
KAYLA SHATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 696-1623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0037679
OH
Other
Enumeration date
07/26/2024
Last updated
09/30/2024
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