Individual
KAYLA MICHELLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4000 HAMPTON CTR STE B, MORGANTOWN, WV 26505-1730
(304) 413-2552
Mailing address
205 VILLAGE DR, FAIRMONT, WV 26554-7972
(304) 552-9182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN89169NP
WV
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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