Individual
KAYCE A WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
509 N CARRIER ST, MORGANFIELD, KY 42437-1201
(731) 394-1145
(812) 477-7240
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
71004552A
IN
363L00000X
Nurse Practitioner
Primary
3010114
KY
363L00000X
Nurse Practitioner
71004552A
IN
Other
Enumeration date
07/18/2013
Last updated
04/03/2023
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