Individual
KAYLA FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2100 MILLVALE RD, LOUISVILLE, KY 40205-1604
(443) 383-9300
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3016052
KY
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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