Individual
KAYLA BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1041 BALCH RD STE 250, MADISON, AL 35758-8822
(256) 704-2229
Mailing address
1041 BALCH RD STE 250, MADISON, AL 35758-8822
(256) 704-2229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-168335
AL
Other
Enumeration date
02/03/2023
Last updated
07/14/2023
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