Provider Demographics
NPI:1548900095
Name:WHITE, CAYLA ROSE METZMEIER
Entity type:Individual
Prefix:
First Name:CAYLA
Middle Name:ROSE METZMEIER
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAYLA
Other - Middle Name:ROSE
Other - Last Name:METZMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:864 PINKNEY DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2312
Mailing Address - Country:US
Mailing Address - Phone:502-415-5616
Mailing Address - Fax:
Practice Address - Street 1:864 PINKNEY DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2312
Practice Address - Country:US
Practice Address - Phone:502-415-5616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program