Individual
KAYLIE DEVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN156427
LA
363LF0000X
Family Nurse Practitioner
234477
LA
Other
Enumeration date
01/19/2024
Last updated
02/16/2024
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