MEDICARE: KAYLA SENTERS

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
1	164X00000X	Licensed Vocational Nurse	231622	TX

General Provider Information

NPI Number	:	1619470119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA SENTERS

Provider Business Mailing Address
First Line	:	3610 GARFIELD ST
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 GARFIELD ST
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2124
Country	:	US
Telephone Number	:	940-447-7495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2018
Last Update Date	:	03/12/2018

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Directions to “ KAYLA SENTERS ” Practice Location

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