Provider Demographics
NPI:1134806664
Name:ABNER, KAYLA (RN)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:ABNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KAYLA
Other - Middle Name:
Other - Last Name:DURHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 VALLEYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:KY
Mailing Address - Zip Code:40055-7652
Mailing Address - Country:US
Mailing Address - Phone:502-224-3248
Mailing Address - Fax:
Practice Address - Street 1:200 ABRAHAM FLEXNER WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2877
Practice Address - Country:US
Practice Address - Phone:502-587-4478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1157479163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse