Provider Demographics
NPI:1992365688
Name:KEMP, KAYLA RUSSO
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:RUSSO
Last Name:KEMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19374 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8813
Mailing Address - Country:US
Mailing Address - Phone:504-444-3647
Mailing Address - Fax:985-302-3584
Practice Address - Street 1:19374 N 3RD ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8813
Practice Address - Country:US
Practice Address - Phone:504-444-3647
Practice Address - Fax:985-302-3584
Is Sole Proprietor?:No
Enumeration Date:2019-06-16
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst