KAYLA CLARK
NPI 1922695923
Licensed Practical Nurse in Charleston, WV

Q: What is Kayla Clark's NPI number?

The NPI number for Kayla Clark is 1922695923. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Q: What is Kayla Clark's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Clark was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2020

900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301(681) 313-4759 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2022, Dec 23, 2020 (2 updates tracked since 2020).

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About Kayla Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA CLARK (NPI 1922695923) is an individual licensed practical nurse in Charleston, West Virginia, licensed in West Virginia (39817) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1922695923

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKAYLA CLARK

Location Address900 VIRGINIA ST E STE 400Charleston, WV 25301-2835

Mailing Address900 Virginia St E Ste 400Charleston, WV 25301-2835 · (681) 313-4759 · Fax (844) 800-3954

Phone(681) 313-4759

Sole ProprietorNo

Enumeration DateDecember 23, 2020

Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration

NPPES CertifiedNovember 17, 2022

✔ NPI 1922695923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WV · 39817

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

900 VIRGINIA ST E STE 400, Charleston, WV 25301

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Other Identifiers 1

Medicaid1487758710WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAXIM HEALTHCARE SERVICES INC.

Community/Behavioral Health