Provider Demographics
NPI:1497570154
Name:SALISBURY, KAYLEIGH (RN)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 384
Mailing Address - Street 2:
Mailing Address - City:PROTECTION
Mailing Address - State:KS
Mailing Address - Zip Code:67127-0384
Mailing Address - Country:US
Mailing Address - Phone:620-635-5046
Mailing Address - Fax:
Practice Address - Street 1:202 S FRISCO AVE
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:KS
Practice Address - Zip Code:67029-9101
Practice Address - Country:US
Practice Address - Phone:620-582-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13122316052163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse