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Individual

KAYLA DIANN VINEYARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
212 N HILLSIDE ST, WICHITA, KS 67214-4935
(316) 550-3066
Mailing address
2208 E QUIVIRA CIR, KECHI, KS 67067-8913
(316) 550-3066

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
187
KS

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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