Individual
KAYLA JOAN OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
Mailing address
3903 S 7TH ST STE 2F, TERRE HAUTE, IN 47802-5710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018649
IL
363LF0000X
Family Nurse Practitioner
71008635A
IN
Other
Enumeration date
10/29/2018
Last updated
08/15/2019
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