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General NPI Number Information
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NPI Number | 1083247613
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Entity Type | Individual
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Provider Name | KAYLA MCMILLEN AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 3041 E FLAMINGO RD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89121-7447
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Country | US
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Telephone | 702-436-0835
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Fax |
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Provider Business Mailing Address
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Address Line | 203 REDONDO DR
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City | JACKSON
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State | OH
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Zip | 45640-2042
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Country | US
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Telephone | 740-418-4944
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 815197
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 815197
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 815197
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License Number State | NV
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