Provider Demographics
NPI:1669270104
Name:KING, KAYLA MARIE
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:KING
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 1:413 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CORRECTIONVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51016-7703
Mailing Address - Country:US
Mailing Address - Phone:712-873-8032
Mailing Address - Fax:
Practice Address - Street 1:413 3RD ST
Practice Address - Street 2:
Practice Address - City:CORRECTIONVILLE
Practice Address - State:IA
Practice Address - Zip Code:51016-7703
Practice Address - Country:US
Practice Address - Phone:712-535-8424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion