Individual
MS. KAYLA ELIZABETH PORTWOOD LUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14532 S OUTER 40 RD, DEPT ORTHOPAEDIC SURGERY, STE 200, CHESTERFIELD, MO 63017-5705
(314) 514-3500
(314) 878-7678
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 514-3500
(314) 878-7678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016022459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420118244
—
MO
Enumeration date
07/06/2016
Last updated
04/17/2025
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