Provider Demographics
NPI:1295181360
Name:BARNETT, KAYLA ALEXANDRA FLOURNOY (DC)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ALEXANDRA FLOURNOY
Last Name:BARNETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14102 WHIRLAWAY WAY
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-1518
Mailing Address - Country:US
Mailing Address - Phone:804-840-0839
Mailing Address - Fax:
Practice Address - Street 1:13841 HULL STREET RD STE 3A
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2056
Practice Address - Country:US
Practice Address - Phone:804-660-8432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6220111N00000X
VA0104557401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor