Individual
MS. KAYLA MICHELLE OTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2200
(304) 399-1507
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2200
(304) 399-1507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10028859
OR
363LF0000X
Family Nurse Practitioner
Primary
103703
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363494
—
OH
05
—
1770137580
—
WV
05
—
7100616310
—
KY
Enumeration date
07/30/2019
Last updated
10/21/2025
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