Provider Demographics
NPI:1851159313
Name:DUERS, KAYLA LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:DUERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ADIRONDACK ST
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-6006
Mailing Address - Country:US
Mailing Address - Phone:518-307-5391
Mailing Address - Fax:
Practice Address - Street 1:120 ADIRONDACK ST
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-6006
Practice Address - Country:US
Practice Address - Phone:518-307-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342748-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse