Individual
KAYLA SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6923 W 400 N, MICHIGAN CITY, IN 46360-9198
(219) 325-0604
(219) 879-1401
Mailing address
6923 W 400 N, MICHIGAN CITY, IN 46360-9198
(219) 325-0604
(219) 879-1401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28223724A
IN
363L00000X
Nurse Practitioner
Primary
71011782A
IN
Other
Enumeration date
08/19/2021
Last updated
09/12/2023
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