Provider Demographics
NPI:1952938565
Name:FINLEY, KAYLA BROOKE
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:BROOKE
Last Name:FINLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KAYLA
Other - Middle Name:BROOKE
Other - Last Name:FINLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11300 GLASGOW RD
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-8549
Mailing Address - Country:US
Mailing Address - Phone:270-459-1864
Mailing Address - Fax:
Practice Address - Street 1:310 N L ROGERS WELLS BLVD
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-1300
Practice Address - Country:US
Practice Address - Phone:270-659-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100749080Medicaid