Healthcare Provider Details

I. General information

NPI: 1750254348
Provider Name (Legal Business Name): KAYLA ELIZABETH VUE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 WILLOW ROCK RD APT 113
MADISON WI
53718-9264
US

IV. Provider business mailing address

1702 WILLOW ROCK RD APT 113
MADISON WI
53718-9264
US

V. Phone/Fax

Practice location:
  • Phone: 715-214-3817
  • Fax:
Mailing address:
  • Phone: 715-214-3817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2231040
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: