Individual
KAYLA DEONE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2525 US HIGHWAY 431, BOAZ, AL 35957-5934
(256) 840-4840
Mailing address
2525 US HIGHWAY 431, BOAZ, AL 35957-5934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-097818
AL
Other
Enumeration date
02/24/2016
Last updated
06/01/2016
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