Provider Demographics
NPI:1245068410
Name:RANKIN, KAYLA (APRN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:RANKIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 MAXTON PARK LN
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-9597
Mailing Address - Country:US
Mailing Address - Phone:270-564-3046
Mailing Address - Fax:
Practice Address - Street 1:1031 MAXTON PARK LN
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-9597
Practice Address - Country:US
Practice Address - Phone:270-564-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily