Individual
KAYLA J YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1345 PLANTATION RD NE, ROANOKE, VA 24012-5712
(540) 699-1824
Mailing address
916 PYRTLE DR APT A, SALEM, VA 24153-6060
(304) 667-9123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39324
WV
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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