Healthcare Provider Details

I. General information

NPI: 1477352094
Provider Name (Legal Business Name): KAYLA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 03/08/2025
Certification Date: 03/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 CHARLESTOWN CT APT D
LOUISVILLE KY
40243-1156
US

IV. Provider business mailing address

209 CHARLESTOWN CT APT D
LOUISVILLE KY
40243-1156
US

V. Phone/Fax

Practice location:
  • Phone: 270-775-5356
  • Fax:
Mailing address:
  • Phone: 270-775-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: