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General NPI Number Information
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NPI Number | 1194343376
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Entity Type | Individual
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Provider Name | KAYLA REISER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 450 ALKYRE RUN STE 350
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City | WESTERVILLE
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State | OH
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Zip | 43082-6912
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Country | US
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Telephone | 614-362-2081
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Fax | 888-732-7890
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Provider Business Mailing Address
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Address Line | 9400 S CICERO AVE STE 100
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City | OAK LAWN
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State | IL
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Zip | 60453-2536
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Country | US
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Telephone | 708-424-3201
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Fax | 708-424-5001
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06201898
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License Number State | OH
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