Healthcare Provider Details

I. General information

NPI: 1316520406
Provider Name (Legal Business Name): KAYLA GAIL STORMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 ROCKCASTLE RD
INEZ KY
41224-8678
US

IV. Provider business mailing address

2570 ROCKCASTLE RD
INEZ KY
41224-8678
US

V. Phone/Fax

Practice location:
  • Phone: 606-626-0223
  • Fax:
Mailing address:
  • Phone: 606-626-0223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: