Individual
KAYLA MARIE PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404-2363
(319) 390-4611
(319) 390-4381
Mailing address
250 20TH AVE N STE 250, CLINTON, IA 52732-2506
(563) 777-0633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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