Healthcare Provider Details

I. General information

NPI: 1982275889
Provider Name (Legal Business Name): KAYLA LESHER APRN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 OLD HARRODS CREEK RD # 400
LOUISVILLE KY
40223-2553
US

IV. Provider business mailing address

209 OLD HARRODS CREEK RD # 400
LOUISVILLE KY
40223-2553
US

V. Phone/Fax

Practice location:
  • Phone: 502-337-8149
  • Fax:
Mailing address:
  • Phone: 502-337-8149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAYLA LESHER
Title or Position: MANAGER
Credential: MSN, APRN, PMHNP-BC
Phone: 502-337-8149