Healthcare Provider Details

I. General information

NPI: 1881556736
Provider Name (Legal Business Name): KAILA STEPTER CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 THOMAS ST
HORN LAKE MS
38637-3317
US

IV. Provider business mailing address

1916 THOMAS ST
HORN LAKE MS
38637-3317
US

V. Phone/Fax

Practice location:
  • Phone: 769-233-6351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: