Kayla Andrews Large
Individual provider Active NPI Health Educator · Wilmington, DE
NPI 1194565002 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1194565002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Educator 174H00000X
- Practice address
- 3 Mount Lebanon Rd
Wilmington, DE 19803-1713 - Phone
- (302) 478-9622
- NPI assigned
- May 29, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Yes |
Addresses
Primary practice location
3 Mount Lebanon Rd
Wilmington, DE 19803-1713
Mailing address
317 W Van Buren Ave
New Castle, DE 19720-2570
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.