Healthcare Provider Details
I. General information
NPI: 1902540875
Provider Name (Legal Business Name): KAYLA MORGAN STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/26/2022
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5480 BAHAMA TER APT 11
CINCINNATI OH
45223-1039
US
IV. Provider business mailing address
5480 BAHAMA TER APT 11
CINCINNATI OH
45223-1039
US
V. Phone/Fax
- Phone: 513-659-9865
- Fax:
- Phone: 513-659-9865
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: