Healthcare Provider Details

I. General information

NPI: 1952938565
Provider Name (Legal Business Name): KAYLA BROOKE FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. KAYLA BROOKE FINLEY

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N L ROGERS WELLS BLVD
GLASGOW KY
42141-1300
US

IV. Provider business mailing address

11300 GLASGOW RD
BURKESVILLE KY
42717-8549
US

V. Phone/Fax

Practice location:
  • Phone: 270-659-5555
  • Fax:
Mailing address:
  • Phone: 270-459-1864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: