Individual
KAYLA RHEA STOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
400 TRACY WAY STE 100, CHARLESTON, WV 25311-1280
(304) 720-0205
Mailing address
264 COAL AVE, MADISON, WV 25130-1446
(304) 928-6576
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28317
WV
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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