Individual
KAYLA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
483 COURT ST, ELIZABETH, WV 26143-1109
(304) 424-4574
Mailing address
520 E GREENWOOD ST, SPRINGFIELD, MO 65807-3639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022007163
MO
363LF0000X
Family Nurse Practitioner
APRN75606-NP-C
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420107682
—
MO
Enumeration date
10/29/2018
Last updated
01/30/2024
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