Provider Demographics
NPI:1982275889
Name:KAYLA LESHER APRN, PLLC
Entity Type:Organization
Organization Name:KAYLA LESHER APRN, PLLC
Other - Org Name:INCLUSION MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESHER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:502-337-8149
Mailing Address - Street 1:209 OLD HARRODS CREEK RD # 400
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2553
Mailing Address - Country:US
Mailing Address - Phone:502-337-8149
Mailing Address - Fax:
Practice Address - Street 1:209 OLD HARRODS CREEK RD # 400
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-2553
Practice Address - Country:US
Practice Address - Phone:502-337-8149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-02
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100702920Medicaid