Individual
KAYLA ANN MARCOULIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201393348RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10039960
OR
Other
Enumeration date
01/28/2025
Last updated
07/23/2026
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