Healthcare Provider Details

I. General information

NPI: 1326685066
Provider Name (Legal Business Name): KAYLA B HENDLEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 JAMES SANDERS BLVD STE A
PADUCAH KY
42001-8405
US

IV. Provider business mailing address

PO BOX 1258
WAYNESBORO TN
38485-1258
US

V. Phone/Fax

Practice location:
  • Phone: 270-554-5114
  • Fax: 270-215-4834
Mailing address:
  • Phone: 931-253-1110
  • Fax: 256-664-4280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3014099
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: