Individual
KAYLA ANN PRYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2001 STATE ST, EAST SAINT LOUIS, IL 62205-1803
(618) 271-0204
Mailing address
102 SOUTH WASHINGTON STREET, BARTELSO, IL 62218
(618) 363-6597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020484
IL
Other
Enumeration date
01/24/2020
Last updated
02/21/2024
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