Provider Demographics
NPI:1003693706
Name:SLUSHER, KAYLA R (PMHNP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:R
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11690 GROOMS RD
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-1412
Mailing Address - Country:US
Mailing Address - Phone:513-469-7800
Mailing Address - Fax:
Practice Address - Street 1:62 PINE TOP DR
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-1079
Practice Address - Country:US
Practice Address - Phone:606-776-4589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0031450363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health