Provider Demographics
NPI:1609615293
Name:COUTEE, KAYLA DENISE
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:DENISE
Last Name:COUTEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:DENISE
Other - Last Name:ANTEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3402 HIGHWAY 490
Mailing Address - Street 2:
Mailing Address - City:LENA
Mailing Address - State:LA
Mailing Address - Zip Code:71447-3510
Mailing Address - Country:US
Mailing Address - Phone:318-419-5147
Mailing Address - Fax:
Practice Address - Street 1:3402 HIGHWAY 490
Practice Address - Street 2:
Practice Address - City:LENA
Practice Address - State:LA
Practice Address - Zip Code:71447-3510
Practice Address - Country:US
Practice Address - Phone:318-419-5147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA235482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily