Provider Demographics
NPI:1396426805
Name:MEISTER, KAYLA NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:NICOLE
Last Name:MEISTER
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 1:528 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:KY
Mailing Address - Zip Code:41094-7426
Mailing Address - Country:US
Mailing Address - Phone:859-209-0394
Mailing Address - Fax:
Practice Address - Street 1:528 SAVANNAH DR
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:KY
Practice Address - Zip Code:41094-7426
Practice Address - Country:US
Practice Address - Phone:859-209-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY11428832363L00000X
KY4008709363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner