Provider Demographics
NPI:1942936497
Name:SPRADLIN, KAYLA LYNN (APRN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:SPRADLIN
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 1:4033 RHODES AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5556
Mailing Address - Country:US
Mailing Address - Phone:740-529-0812
Mailing Address - Fax:740-529-0861
Practice Address - Street 1:4033 RHODES AVE
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:OH
Practice Address - Zip Code:45662-5556
Practice Address - Country:US
Practice Address - Phone:740-529-0812
Practice Address - Fax:740-529-0861
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0031868363LP0808X
KY3018241363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health