Provider Demographics
NPI:1649453069
Name:LAMB, KAYLA RENAE (NP)
Entity type:Individual
Prefix:MISS
First Name:KAYLA
Middle Name:RENAE
Last Name:LAMB
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1360 N LOUISIANA ST STE B
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7171
Mailing Address - Country:US
Mailing Address - Phone:509-642-6634
Mailing Address - Fax:
Practice Address - Street 1:75 N MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-5326
Practice Address - Country:US
Practice Address - Phone:805-434-2126
Practice Address - Fax:805-434-2172
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61332007363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily