Healthcare Provider Details

I. General information

NPI: 1538989595
Provider Name (Legal Business Name): KAYLA MARIE CLINE APRN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA MARIE SAUNDERS

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 E MEMORIAL DR
POMEROY OH
45769-9569
US

IV. Provider business mailing address

100 JACKSON PIKE
GALLIPOLIS OH
45631-1560
US

V. Phone/Fax

Practice location:
  • Phone: 554-465-9378
  • Fax:
Mailing address:
  • Phone: 855-446-5937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037857
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: