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1376182345 NPI number — KAYLYN R WALLS

NPI Number: 1376182345
Health Care Provider/Practitioner: KAYLYN R WALLS

Information about “1376182345” NPI (KAYLYN R WALLS) exists in 1376182345 in HTML format HTML  |  1376182345 in plain Text format TXT  |  1376182345 in PDF (Portable Document Format) PDF  |  1376182345 in an XML format XML  formats.

NPI Number : 1376182345 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376182345",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALLS",
    "FirstName": "KAYLYN",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1106 HOMER RD NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UTICA",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43080-9589",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-616-2329",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "213 E CHESTNUT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT VERNON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43050-3404",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-326-9255",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/23/2019",
    "LastUpdateDate": "01/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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