Provider Demographics
NPI:1720327844
Name:MCDONALD, KAYLA D (APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:D
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3451 S JACKSON LN
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1251
Mailing Address - Country:US
Mailing Address - Phone:435-817-7934
Mailing Address - Fax:
Practice Address - Street 1:1380 E MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2123
Practice Address - Country:US
Practice Address - Phone:435-817-7934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2022-04-01
Deactivation Date:2022-03-15
Deactivation Code:
Reactivation Date:2022-04-01
Provider Licenses
StateLicense IDTaxonomies
247200000X
UT8870455-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other