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General NPI Number Information
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NPI Number | 1396218988
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Entity Type | Individual
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Provider Name | KYLA G. STANLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 226 MEDICAL PLAZA LN
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City | WHITESBURG
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State | KY
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Zip | 41858-7425
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Country | US
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Telephone | 606-633-4871
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | WHITESBURG
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State | KY
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Zip | 41858-0040
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Country | US
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Telephone | 606-633-4823
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3012925
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License Number State | KY
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