Provider Demographics
NPI:1023689833
Name:BUTTS, KAYLA SAVVAY (STNA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:SAVVAY
Last Name:BUTTS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 S MAIN ST APT 815
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1211
Mailing Address - Country:US
Mailing Address - Phone:330-577-6510
Mailing Address - Fax:
Practice Address - Street 1:263 S MAIN ST APT 815
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1211
Practice Address - Country:US
Practice Address - Phone:330-577-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-03
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402248550220376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH402248550220OtherSTATE TESTED NURSE AIDE