Individual
MRS. KAYLA MARIE LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
910 KENTON STATION DR, MAYSVILLE, KY 41056-9613
(606) 759-0490
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 796-3029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1137267
KY
363L00000X
Nurse Practitioner
Primary
3012111
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1137267
REGISTERED NURSE LICENSURE
KY
01
—
3012111
APRN LICENSE
KY
Enumeration date
10/17/2017
Last updated
05/26/2022
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