Individual
KAYLA BETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 N RACE ST, GLASGOW, KY 42141-3473
(270) 629-6333
Mailing address
1412 N RACE ST, GLASGOW, KY 42141-3473
(270) 629-6333
(270) 629-6334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4048978
KY
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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