Individual
KAYLA E NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 ENTERPRISE DR STE A, PENDLETON, IN 46064-9038
(765) 298-4567
(765) 298-2984
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28191767A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005877A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201324960
—
IN
01
—
P01588252
RR MEDICARE
IN
Enumeration date
09/17/2015
Last updated
07/29/2025
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