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NPI Code Detail

MEDICARE: KAYLA MICK

MEDICARE: KAYLA MICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse0002090710VA

General Provider Information

NPI Number : 1598625246
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MICK
Provider Business Mailing Address
First Line : 102 LACY B KING WAY
Second Line :
City : STAUNTON
State : VA
Zip : 24401-4594
Country : US
Telephone Number : 540-886-5777
Fax Number :
Provider Business Practice Location Address
First Line : 102 LACY B KING WAY
Second Line :
City : STAUNTON
State : VA
Zip : 24401-4594
Country : US
Telephone Number : 540-886-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 11/14/2025

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Directions to “ KAYLA MICK ” Practice Location

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