Gayla A Baty, LPN

Individual provider Active NPI Licensed Practical Nurse · Fort Campbell, KY

NPI 1154559565 · NPPES record last updated Jun 24, 2009

Key facts

NPI
1154559565
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000038121 (TN)
Practice address
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone
(270) 956-0759
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN0000038121TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000038121 TN Yes

Addresses

Primary practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Mailing address

227 Pine Mt Rd
Clarksville, TN 37042

Other providers in Fort Campbell, KY

All providers in Fort Campbell, KY · Licensed Practical Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.