Individual
KAYLA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(800) 493-9602
Mailing address
200 BRULE ST, FORT KNOX, KY 40121-6100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010655
KY
Other
Enumeration date
08/01/2018
Last updated
06/24/2025
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