Individual
KAYLA MARIE KRALOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13401 81ST AVE, DYER, IN 46311-2547
(605) 464-0142
Mailing address
13401 81ST AVE, DYER, IN 46311-2547
(605) 464-0142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28237203
IN
363L00000X
Nurse Practitioner
71009574A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009574A
IN
Other
Enumeration date
09/23/2019
Last updated
01/08/2026
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