Individual
KAYLA OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1630 LAFAYETTE RD STE 200, CRAWFORDSVILLE, IN 47933-1092
(765) 359-2230
(765) 362-4940
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28210116A
IN
363L00000X
Nurse Practitioner
71009225A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009225A
IN
Other
Enumeration date
07/26/2019
Last updated
08/10/2023
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