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NPI Code Detail

MEDICARE: MRS. KAYLA DAWN NUCKOLS

MEDICARE: MRS. KAYLA DAWN NUCKOLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse83886WV

General Provider Information

NPI Number : 1497685739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAYLA DAWN NUCKOLS
Provider Business Mailing Address
First Line : 330 E MAPLEWOOD ESTS
Second Line :
City : SCOTT DEPOT
State : WV
Zip : 25560-9746
Country : US
Telephone Number : 304-546-8989
Fax Number :
Provider Business Practice Location Address
First Line : 1340 HAL GREER BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3804
Country : US
Telephone Number : 304-526-2525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ MRS. KAYLA DAWN NUCKOLS ” Practice Location

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