Individual
KAYLA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 MASTER ST, CORBIN, KY 40701-2502
(606) 280-4000
(833) 222-3797
Mailing address
P.O. BOX 2364, CORBIN, KY 40701
(606) 280-4000
(833) 222-3797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4027695
KY
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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