Kayla Lake
Homemaker in Sutton, WV. Individual provider (NPI-1).
NPI number1164028916
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1164028916
- Entity type
- Individual (NPI-1)
- Name
- Kayla Lake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2020
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
101 2nd St Ste 201Sutton, WV 26601-1303
Phone 304-765-3668 · Fax 304-765-3697
Mailing address
55 River Breeze RdHacker Valley, WV 26222-8941
Phone 304-493-9495 · Fax 304-471-2488
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All 543 Homemaker providers in Sutton · All 757 providers in Sutton
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