Provider Demographics
NPI:1841064581
Name:PEEPLES, KAYLA E (RN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:E
Last Name:PEEPLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:E
Other - Last Name:GILMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2312 TABOR ST
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-7061
Mailing Address - Country:US
Mailing Address - Phone:303-957-7690
Mailing Address - Fax:
Practice Address - Street 1:2312 TABOR ST
Practice Address - Street 2:
Practice Address - City:BERTHOUD
Practice Address - State:CO
Practice Address - Zip Code:80513-7061
Practice Address - Country:US
Practice Address - Phone:303-957-7690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1673698163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse