Provider Information for 1912422213
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Mrs. KAYLA NICOLE FELKER LCSW
Sex: Female
NPI: 1912422213
Last Updated: 2023-09-22
Certification Date: 2023-09-22
Certification Date: 2023-09-22
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1912422213 | ||||||||||||
| Enumeration Date | 2017-08-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1213 MARIA LN IUKA, MS 38852-1135 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 215 KATHERINE DRIVE SUITE A FLOWOOD, MS 39232-9588 United States Phone: 601-665-4162 | Fax:855-830-3484 | ||||||||||||
| Secondary Practice Address(es) | 1213 MARIA LN | ||||||||||||
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