Individual
MRS. KAYLA DANIELLE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
341 OFFICE PARK DR, COLUMBIA, KY 42728-1392
(270) 380-1601
(270) 380-1602
Mailing address
341 OFFICE PARK DR, COLUMBIA, KY 42728-1392
(270) 380-1601
(270) 380-1602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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