Provider Demographics
NPI:1356757231
Name:ALBRIGHT, KAYLA MICHELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:MICHELLE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-5450
Mailing Address - Country:US
Mailing Address - Phone:502-955-6134
Mailing Address - Fax:
Practice Address - Street 1:254 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-5450
Practice Address - Country:US
Practice Address - Phone:502-955-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-11
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY95261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice