Most Relevant Information
Provider Data
| NPI Number: | 1003206301 |
| Provider Name: | KAYLA CLEMONS CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-136281 |
Most Important Dates
| Enumeration Date: | 01/26/2015 |
| Last Updated: | 08/09/2016 |
Provider Practice Location
6144 AIRPORT BLVD
MOBILE
AL
366083143
Practice Location Phone/Fax
| Phone: | 2514765050 |
| Fax: | 2514502770 |
Provider Mailing Location
PO BOX 86144
MOBILE
AL
366896144
Provider Mailing Phone/Fax
| Phone: | 2514765050 |
| Fax: | 2514502770 |