Individual
KAYLA LEE DOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
160 SHADY HILL LN, WILEY FORD, WV 26767-8016
(304) 709-2471
Mailing address
160 SHADY HILL LN, WILEY FORD, WV 26767-8016
(240) 624-6694
(833) 340-2409
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
108740
WV
363LP0200X
Pediatric Nurse Practitioner
AC007193
MD
363LP0200X
Pediatric Nurse Practitioner
SP031560
PA
Other
Enumeration date
11/18/2021
Last updated
09/17/2025
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