Individual
KAYLA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3991 DUTCHMANS LN STE 405, LOUISVILLE, KY 40207-4723
(502) 899-3366
(502) 899-6686
Mailing address
9705 KEELING PLACE CT, LOUISVILLE, KY 40291-1283
(502) 593-0041
(502) 899-6686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015195
KY
Other
Enumeration date
11/18/2020
Last updated
02/23/2021
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