Healthcare Provider Details

I. General information

NPI: 1487569851
Provider Name (Legal Business Name): KAYLA THOMPSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 HOSFORD ST STE 203
HUDSON WI
54016-9316
US

IV. Provider business mailing address

W1030 SILVER FOX DR
SPRING VALLEY WI
54767-5003
US

V. Phone/Fax

Practice location:
  • Phone: 715-425-6443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number166296-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: