Healthcare Provider Details

I. General information

NPI: 1942936497
Provider Name (Legal Business Name): KAYLA LYNN SPRADLIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 3RD AVE
CHESAPEAKE OH
45619-1036
US

IV. Provider business mailing address

4033 RHODES AVE
NEW BOSTON OH
45662-5556
US

V. Phone/Fax

Practice location:
  • Phone: 740-451-1455
  • Fax: 740-451-0362
Mailing address:
  • Phone: 740-529-0812
  • Fax: 740-529-0861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3018241
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0031868
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: