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Individual

KAYLA RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
209 LEFT FORK COPPERAS LICK BR, PRESTONSBURG, KY 41653-8920
(606) 339-9311
Mailing address
209 LEFT FORK COPPERAS LICK BR, PRESTONSBURG, KY 41653-8920

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1172630
KY

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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