Individual
KAYLA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2887 S MARYLAND PKWY, LAS VEGAS, NV 89109-1511
(702) 474-4104
(702) 474-4108
Mailing address
3080 SAINT ROSE PKWY UNIT 1209, HENDERSON, NV 89052-3548
(347) 571-7110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP07315100
NJ
164W00000X
Licensed Practical Nurse
Primary
867881
NV
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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