Kayla S Harrell

Individual provider Active NPI Licensed Practical Nurse · Pedro, OH

NPI 1760035844 · NPPES record last updated Jul 18, 2019

Key facts

NPI
1760035844
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.169178.MEDS-IV (OH)
Practice address
115 Private Road 977
Pedro, OH 45659-8608
Phone
(740) 534-1386
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

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
LPN.169178.MEDS-IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.169178.MEDS-IV OH Yes

Addresses

Primary practice location

115 Private Road 977
Pedro, OH 45659-8608

Mailing address

PO Box 6
Pedro, OH 45659-0006
Phone (740) 532-1386

Other providers in Pedro, OH

All providers in Pedro, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.