Provider Demographics
NPI:1891392916
Name:SPALDING, KAYLA CLAIR (APRN)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:CLAIR
Last Name:SPALDING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N EAGLE CREEK DR STE 320
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1893
Mailing Address - Country:US
Mailing Address - Phone:859-523-2526
Mailing Address - Fax:
Practice Address - Street 1:151 N EAGLE CREEK DR STE 320
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1893
Practice Address - Country:US
Practice Address - Phone:859-523-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1136305363LF0000X
KY3015211363LW0102X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health